Cataract surgery in cataracta membranacea.
A 27-year-old man with no history of intraocular surgery presented with progressive blurred vision in both eyes. Slitlamp evaluation revealed a white, thin membrane in the pupillary area that resembled posterior capsule opacification. A naturally formed lens was absent. Ultrasound biomicroscopy demonstrated a rarefaction of lens fibers in the equator region with a loss of the normal anatomic lens structure on the left side. Visual acuity was 20/32 with +10.00 -0.75 x 170 in the right eye and 20/100 with +11.50 -0.50 x 25 in the left eye. After capsulotomy and excision of the membranous capsule, an anterior vitrectomy, and implantation of a sulcus-fixed intraocular lens in both eyes, the patient was highly satisfied with the final visual outcome. The patient had stereopsis, which supported his history of good visual function in childhood.
Heuring
Alexander H
AH
Departments of Ophthalmology, Fulda General Hospital, Fulda, Germany. alexander.heuring@t-online.de
Menkhaus
Sabine
S
Walter
Sven
S
Behrens-Baumann
Wolfgang
W
D000328:Adult; D002386:Cataract / Q000000981:diagnostic imaging / Q000473:pathology*; D002387:Cataract Extraction / Q000379:methods*; D003867:Depth Perception; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D008566:Membranes / Q000473:pathology / Q000601:surgery; D019904:Polymethyl Methacrylate; D014463:Ultrasonography; D014792:Visual Acuity
D019904:Polymethyl Methacrylate