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 Table of Contents  
Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 456

An after-after-cataract

1 Consultant Cataract, Cornea and Refractive Services, Pondicherry, India
2 Consultant Pediatric and Squint Services, Pondicherry, India
3 Primary DNB Resident, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India

Date of Web Publication02-Jul-2021

Correspondence Address:
Dr. Kirandeep Kaur
Consultant Pediatric and Squint Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry - 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_3477_20

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How to cite this article:
Gurnani B, Kaur K, Rajendran P. An after-after-cataract. Indian J Ophthalmol Case Rep 2021;1:456

How to cite this URL:
Gurnani B, Kaur K, Rajendran P. An after-after-cataract. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2022 Sep 24];1:456. Available from: https://www.ijoreports.in/text.asp?2021/1/3/456/320077

A 59-year-old man presented with defective vision OU since 1 year. He gave history of OD cataract surgery 4 years back and Nd:YAG (neodymium yttrium aluminum garnet) capsulotomy 1 year back. Best corrected visual acuity (BCVA) in OD was 20/60 and in OS 20/1200. Introcular pressure was 14 mm Hg OU. Slit-lamp anterior segment examination OD revealed pseudophakia, Elsching's pearl posterior capsular opacification (PCO) along with old posterior capsulotomy margins [Figure 1] and immature cataract OS. Fundoscopy in OU was normal. The patient was advised to undergo OD Nd:YAG capsulotomy and cataract surgery OS. Recurrent PCO after Nd:YAG capsulotomy is a very rare phenomenon.[1] Cytokine elevation secondary to postoperative inflammation is suggested to cause lens epithelial cell migration via autocrine and paracrine signals.[2],[3]
Figure 1: Slit lamp image of the right eye depicting dilated pupil, pseudophakia along with visual axis re-opacification. The anterior capsulorrhexis margin (white arrow) and posterior capsulotomy margin (gray arrow) can be made out. Lens epithelial cell migration and proliferation (black arrow) can be seen centripetally suggestive of an after-after cataract

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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  References Top

Garrott HM, Walland MJ, O'Day J. Recurrent posterior capsular opacification and capsulorhexis contracture after cataract surgery in myotonic dystrophy. Clin Experiment Ophthalmol 2004;32:653-5.  Back to cited text no. 1
Toda J, Kato S, Oshika T, Sugita G. Posterior capsule opacification after combined cataract surgery and vitrectomy. J Cataract Refract Surg 2007;33:104-7.  Back to cited text no. 2
De Groot V, Vrensen GF, Willekens B, Van Tenten Y, Tassignon MJ. In vitro study on the closure of posterior capsulorrhexis in the human eye. Invest Ophthalmol Vis Sci 2003;44:2076-83.  Back to cited text no. 3


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