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Erschienen in: Spektrum der Augenheilkunde 4-5/2018

20.08.2018 | case report

Uncommon complication following uneventful Nd:YAG capsulotomy

verfasst von: Ismail Abuallut

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 4-5/2018

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Summary

This article reports the development of low grade endophthalmitis following Nd:YAG laser posterior capsulotomy. The patient previously underwent uncomplicated extracapsular cataract extraction with intraocular lens (IOL) insertion and was free of inflammation prior to laser capsulotomy. Anterior vitrectomy with partial capsular bag removal and anterior chamber washout were performed. Samples for cultures were taken and intravitreal antibiotics injected. The patient was managed with topical and systemic antibiotics and steroids. Complete resolution of the inflammation with return of vision to 20/25 was achieved without removal of the intraocular lens or lenticular remnants. The endophthalmitis was responsive to a minimally invasive intervention as well as medicinal therapy including antibiotic agents, and it resolved without any invasive surgical intervention, such as total capsulectomy, IOL exchange or removal and posterior vitrectomy.
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Metadaten
Titel
Uncommon complication following uneventful Nd:YAG capsulotomy
verfasst von
Ismail Abuallut
Publikationsdatum
20.08.2018
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 4-5/2018
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-018-0411-z

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