Association of atopic cataract and retinal detachment Takeshi Moritera 1 , Yasuhiro Tanaka 2 , Yoshiko Tanaka 2 , Masatoshi Izutani 2 , Seiji Imamura 2 , Nobuchika Ogino 3 1Dept of Ophthalmol, Sch of Med, Kyoto Univ 2Wakayama Red Cross Hosp 3Dept of Ophthalmol, Aichi Med Coll. pp.734-736
Published Date 1989/5/15
DOI https://doi.org/10.11477/mf.1410210771
  • Abstract
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We observed retinal detachment in 4 eyes, 3 cases, with atopic cataract. The cases were aged 16, 19 and 20 years each. In one case, retinal detach-ment was detected prior to cataract surgery. We performed retinal detachment surgery after surgery for cataract. In another case, retinal detachment was found in both eyes after surgery for cataract.

The posterior lens capsule was retained in all the eyes. We performed citrectomy, scleral encircling, cryoretinopexy and posterior capsulectomy. In 3 eyes, 2 cases, the ciliary process was adherent to the posterior lens capsule. These eyes seemed to neces-sitate vitrectomy and posterior capsulectomy to relieve retinal detachment.

Because of inherent risk of retinal detachment, we advocate phacoemulsification or extracapsular cataract extraction with posterior capsulectomy and anterior vitrectomy for atopic cataract. Pars plana lensectomy is another alternative.

Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.


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