Late-onset hyaloideocapsular block syndrome.
OBJECTIVE
To report an unusual cause of decreased vision in an aphakic patient.


METHODS
Interventional case report.


METHODS
One patient.


METHODS
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.


METHODS
Refraction and best-corrected visual acuity.


RESULTS
The Nd:YAG laser hyaloidotomy allowed the trapped fluid to flow into the vitreous cavity. The myopic shift disappeared immediately and visual acuity improved.


CONCLUSIONS
To our knowledge, this is the first report of a late-onset hyaloideocapsular block syndrome after ECCE without IOL implantation.
Fournié
Pierre
P
Service Ophtalmologie, Hôpital Purpan, Toulouse, France. pierrefournie@yahoo.com
Malecaze
François
F
Ponchel
Corinne
C
Arné
Jean-Louis
JL
D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000150:complications; D001826:Body Fluids; D002387:Cataract Extraction; D005128:Eye Diseases / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D007905:Lens Diseases / Q000209:etiology* / Q000601:surgery; D009216:Myopia / Q000209:etiology; D011183:Postoperative Complications; D012029:Refraction, Ocular; D013577:Syndrome; D014792:Visual Acuity; D014822:Vitreous Body / Q000473:pathology* / Q000601:surgery