Document Detail

Membranous proliferation on the posterior surface of an intraocular lens after Nd:YAG laser capsulotomy.
MedLine Citation:
PMID:  15838738     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We report on three patients who showed a rare complication, centripetal membranous proliferation from the posterior capsulotomy edge onto the posterior surface of an intraocular lens (IOL), 3 to 6 months after neodymium:YAG (Nd:YAG) capsulotomy. CASES: These three patients had juvenile rheumatoid arthritis, retinitis pigmentosa, and sarcoidosis, respectively, prior to cataract surgery. OBSERVATIONS: Elschnig's pearls developed in the eyes of all three patients after cataract surgery, and were treated by Nd:YAG laser. However, membranous proliferation continued, and Nd:YAG laser treatment was required a second time to disrupt the proliferating fibrous membrane and achieve resolution of the patients' symptoms. CONCLUSIONS: Common factors in our cases and cases in the literature were that the IOLs were biconvex and made of polymethyl methacrylate. Ophthalmologists should be aware that after cataract surgery, lens epithelial cells can proliferate onto any surface that provides adequate protein nourishment.
Kimihito Konno; Toshiyuki Nagamoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese journal of ophthalmology     Volume:  49     ISSN:  0021-5155     ISO Abbreviation:  Jpn. J. Ophthalmol.     Publication Date:    2005 Mar-Apr
Date Detail:
Created Date:  2005-04-19     Completed Date:  2005-05-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0044652     Medline TA:  Jpn J Ophthalmol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  173-5     Citation Subset:  IM    
Department of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan.
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MeSH Terms
Cataract Extraction
Cell Proliferation*
Epithelial Cells / pathology*
Laser Therapy*
Lens Capsule, Crystalline / surgery*
Lens Implantation, Intraocular
Lens, Crystalline / pathology*
Lenses, Intraocular*
Middle Aged
Postoperative Complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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