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Here you’ll find interesting cases of eye conditions along with news and developments in the ophthalmology world.

Cases are presented as an initial image with history and examination. Health practitioners are encouraged to deduce the condition, before further investigations, diagnosis and management are presented.

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Anterior segment photograph demonstrating a central circular posterior capsule tear (arrowheads) and an inferotemporal linear posterior capsule tear (arrows).

Case 27

Figure 1. Anterior segment photograph demonstrating a central circular posterior capsule tear (arrowheads) and an inferotemporal linear posterior capsule tear (arrows).

Author: Raj Chalasani     Editor: Michael Chilov

A 72-year-old male was referred with reduced vision in his right eye following cataract surgery.

Case history

A 72 year old diabetic male was referred from his general ophthalmologist with reduced vision in his right following cataract surgery 6 months earlier. The surgery was complicated intraoperatively by posterior capsule tear, necessitating anterior vitrectomy and placement of a sulcus intraocular lens.

Best corrected visual acuity was 6/18 in the right eye (OD) and 6/6 in the left eye (OS). Intraocular pressures were 13mmHg in both eyes. Examination of the anterior segment revealed a quiet anterior chamber, with a sulcus intraocular lens and several posterior capsular tears (Figure 1). Examination of the posterior segment revealed a quiet vitreous, with thickening of the fovea. There was no sign of retained nuclear material in the vitreous following the capsular rupture. There was no clinical evidence of diabetic retinopathy. Optical coherence tomography (OCT) demonstrated cystoid macular oedema (figure 2).

OCT demonstrates cystoid macular oedema

Figure 2. OCT demonstrates cystoid macular oedema

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