ABSTRACT
Purpose@#To report a case of spontaneous resolution of vitreomacular traction (VMT) syndrome after cataract surgery.Case summary: A 70-year-old woman underwent lens emulsification and intraocular lens implantation for a right-eye cataract.Preoperative optical coherence tomography (OCT) showed vitreomacular adhesion (VMA). At that time, the decimal visual acuityof the right eye was 0.63 and the best-corrected visual acuity (BCVA) was 0.8. At one day after cataract surgery, OCT showedVMT, with disruption of the ellipsoid zone and outer limiting membrane. The BCVA of the right eye was 0.32, which was worsethan before surgery. At two weeks after cataract surgery, OCT revealed spontaneous resolution of the VMT, whereas the VMApersisted. At four months after cataract surgery, the BCVA of the right eye was 0.8. @*Conclusions@#In cases of VMT after cataract surgery, there is a possibility of spontaneous resolution without VMA separation.Therefore, careful observation in the early stages should be considered before surgical treatment.
ABSTRACT
PURPOSE: To report a case of penetrating keratoplasty and cataract surgery for improving visual acuity in an adult with Peters' anomaly. CASE SUMMARY: A 70-year-old female patient presented with decreased visual acuity for a few years. The patient had a history of Peters' anomaly in both eyes and evisceration surgery of the right eye 4 years prior to presentation. The patient's visual acuity was measured as finger count 20 cm at the time of visitation due to Peters' anomaly and brunescent cataract. In the slit lamp examination, irregular margin corneal opacity with anterior synechiae was observed in the center of the cornea, while the peripheral cornea was relatively normal. Penetrating keratoplasty and cataract surgery were performed, and visual acuity improved by 0.04 at 1 week, 0.04 at 1 month, and 0.16 at 4 months after surgery. Visual acuity was measured using a Snellen chart, and the intraocular pressure was maintained within the normal range of 17-20 mmHg. CONCLUSIONS: If peripheral corneal invasion is not severe in adults with Peters' anomaly, penetrating keratoplasty and cataract surgery can be performed for the purpose of improving visual acuity.