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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 3 | Page : 849 |
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Post-vitrectomy reversible “Honeycomb” cataract
Amber Amar Bhayana, Pradeep Venkatesh, Sudarshan Kumar Khokhar, Priyanka Prasad
Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
| Date of Web Publication | 16-Jul-2022 |
Correspondence Address:
Dr. Amber Amar Bhayana
Dr R P Centre, AIIMS, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1129_22
How to cite this article:
Bhayana AA, Venkatesh P, Khokhar SK, Prasad P. Post-vitrectomy reversible “Honeycomb” cataract. Indian J Ophthalmol Case Rep 2022;2:849 |
A 26-year-old male underwent pars plana vitrectomy with C3F8 gas tamponade for a fresh rhegmatogenous retinal detachment in his left eye. The next postoperative day, he had honeycomb-like posterior subcapsular cataract [Figure 1]a and [Figure 1]b. At one month, only some scars were seen at the posterior capsule [Figure 1]c. The honeycomb cataract developed because of reversible hydration of the lens fibers.[1],[2] The source of hydration, we believe, were the micro-ruptures in the posterior capsule, which possibly occurred during prolonged gas (air and/or C3F8) contact at high pressure (40 mmHg) during the surgery. The scars may represent these micro-ruptures, which got fibrosed. | Figure 1: (a and b) Retro-illumination image showing honeycomb-like cataract on postoperative day 1; (c) retro-illumination image showing disappearance of vacuoles with few remnant opacities at one month
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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Hsuan JD, Brown NA, Bron AJ, Patel CK, Rosen PH. Posterior subcapsular and nuclear cataract after vitrectomy. J Cataract Refract Surg 2001;27:437-44.  |
| 2. | Cheng L, Azen SP, El-Bradey MH, Scholz BM, Chaidhawangul S, Toyoguchi M, et al. Duration of vitrectomy and postoperative cataract in the vitrectomy for macular hole study. Am J Ophthalmol 2001;132:881-7. |
[Figure 1]
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