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Management of Subluxated Traumatic Cataract With Vitreous Prolapse and Glaucoma

Edward Yung, MD

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This patient presented with elevated IOP on medications and a traumatic subluxated cataract with visual acuity of 20/400 after blunt trauma years prior. Extensive vitreous prolapse was noted in the anterior chamber from around the equator of the phakic lens. Edward Yung, MD, elected to perform a pars plana vitrectomy, phacoemulsification, and scleral fixation of the lens capsule to allow for a one-piece in-the-bag IOL implantation. He then performed a concomitant excisional goniotomy to address the elevated IOP. Postoperative follow up at week 1 demonstrated an uncorrected visual acuity of 20/30 and IOP in the mid-teens.

Posted: 2/19/2025

Keywords:

Trauma

•

Traumatic Cataract

•

Pars Plana Vitrectomy

•

Goniotomy

•

Microinvasive Glaucoma Surgery (MIGS)

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Management of Subluxated Traumatic Cataract With Vitreous Prolapse and Glaucoma

Edward Yung, MD

This patient presented with elevated IOP on medications and a traumatic subluxated cataract with visual acuity of 20/400 after blunt trauma years prior. Extensive vitreous prolapse was noted in the anterior chamber from around the equator of the phakic lens. Edward Yung, MD, elected to perform a pars plana vitrectomy, phacoemulsification, and scleral fixation of the lens capsule to allow for a one-piece in-the-bag IOL implantation. He then performed a concomitant excisional goniotomy to address the elevated IOP. Postoperative follow up at week 1 demonstrated an uncorrected visual acuity of 20/30 and IOP in the mid-teens.

Posted: 2/19/2025

Keywords:

Trauma

•

Traumatic Cataract

•

Pars Plana Vitrectomy

•

Goniotomy

•

Microinvasive Glaucoma Surgery (MIGS)

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