Chronic cystoid macular edema in an eye with a capsule defect and posteriorly dislocated capsular tension ring.
A 72-year-old man presented with visual deterioration and cystoid macular edema (CME) 9 months after cataract surgery elsewhere. A slitlamp examination showed a large posterior capsule defect and a slightly decentered intraocular lens (IOL). In addition, a curved poly(methyl methacrylate) (PMMA) haptic-like structure was seen behind the IOL in the superoanterior vitreous cavity. The foreign body was entangled by vitreous fibers and moved in accordance with ocular motility. A broken PMMA haptic was suspected. During vitrectomy for removal of the suspected IOL haptic, an intact, posteriorly dislocated capsular tension ring (CTR) was found. It was cut in 2 and excised carefully via the sclerectomies. Postoperatively, the CME resolved and vision improved.
Bopp
Silvia
S
Tagesklinik Universitaetsallee, Department of Ophthalmology, Bremen, Germany. S.Bopp@Retina.to.de
Lucke
Klaus
K
D000368:Aged; D002908:Chronic Disease; D005451:Fluorescein Angiography; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D007910:Lenses, Intraocular; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D019904:Polymethyl Methacrylate; D019736:Prostheses and Implants / Q000009:adverse effects*
D019904:Polymethyl Methacrylate