title: Anterior capsule tear after laser iridotomy complicating phacoemulsification.
abstract: A 70-year-old Indian lady had a history of bilateral laser peripheral iridotomy (LPI) for primary angle closure. Subsequently she developed cataract in both the eyes. Right eye cataract surgery was complicated by an anterior capsule rupture, which was discovered intra-operatively at the site of the LPI. Trypan blue was used to stain the anterior capsule to delineate the anterior capsule defect. An attempt at continuous curvilinear capsulorhexis was unsuccessful, and the anterior capsulotomy was completed with scissors. To the best of our knowledge the surgical management of cataract in the presence of anterior capsule rupture as a result of LPI has not been reported. Awareness of this potential complication of LPI will aid in planning for successful phacoemulsification cataract surgery.
authors: Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital, Singapore.
authors: Yip
authors: Y
authors: Vivien Cherng Hui
authors: Srinivasan
authors: S
authors: Sanjay
authors: Chang
authors: C
authors: Benjamin Chong-Ming
keywords: Intraoperative complications; Laser iridotomy; Phacoemulsification
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