Late-onset hyaloideocapsular block syndrome.

Fournié, Pierre; Malecaze, François; Ponchel, Corinne; Arné, Jean-Louis · Ophthalmology · 2007

case_report · Level V

Where this comes from

Abstract

To report an unusual cause of decreased vision in an aphakic patient. Interventional case report. One patient. An 80-year-old woman presented with a myopic shift and decreased visual acuity in the left eye 16 years after extracapsular cataract extraction (ECCE) without intraocular lens (IOL) implantation. Slit-lamp examination after pupil dilation revealed a milky fluid accumulation between the posterior lens capsule and the anterior hyaloid membrane. A neodymium:yttrium-aluminium-garnet (Nd:YAG) laser hyaloidotomy was performed on the anterior hyaloid membrane. Refraction and best-corrected visual acuity. The Nd:YAG laser hyaloidotomy allowed the trapped fluid to flow into the vitreous cavity. The myopic shift disappeared immediately and visual acuity improved. To our knowledge, this is the first report of a late-onset hyaloideocapsular block syndrome after ECCE without IOL implantation.

Medical subject headings