A 66-year-old white man underwent uncomplicated phacoemulsification and IOL implantation with an Akreos AO60 (Bausch and Lomb, Rochester, New York) in the bag. The patient underwent 23-gauge pars plana vitrectomy,… Click to show full abstract
A 66-year-old white man underwent uncomplicated phacoemulsification and IOL implantation with an Akreos AO60 (Bausch and Lomb, Rochester, New York) in the bag. The patient underwent 23-gauge pars plana vitrectomy, endolaser, and 14% perfluoropropane (C3F8) gas tamponade 12 days after cataract surgery for a macula-on rhegmatogenous retinal detachment. Visual acuity without correction 3 months post retinal repair was 20/40. At 6 months, visual acuity decreased to 20/80 so the patient underwent YAG capsulotomy to open the posterior capsule. At 9 months visual acuity decreased to 20/200 with the inability to view retinal details and B-scan ultrasonography was unremarkable. Slit lamp exam revealed a frosted, haze appearance to the intraocular lens (Fig. 1). The patient plans to proceed with IOL exchange in the near future. His medical history and medications were unremarkable.
               
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