RESUMO
PURPOSE: To discuss surgical options and visual outcome when faced with a diamond intraoperative foreign body during macular hole surgery. METHODS: Case study of an iatrogenic in-the-macular-hole diamond particle noted during macular hole surgery. No attempt to retrieve the diamond from the macular hole was made during surgery. PATIENT: Forty-seven-year-old female patient with a 483-µm macular hole. RESULTS: The patient's macular hole closed over the diamond particle, making it subfoveal. The visual acuity improved from 20/120 to 20/40 with resolution of metamorphopsia. CONCLUSION: It is likely that the inert nature and small size of diamond particles do not significantly affect visual acuity or hole closure and do not cause retinal toxicity. The authors discourage aggressive attempts to remove such particles during surgery.
RESUMO
PURPOSE: The purpose of this study was to describe spontaneous vitreous hemorrhage after a session of whole-body vibration training. METHOD: This is a case report of a 52-year-old man with no ophthalmic history who presented with a uniocular drop in vision. RESULTS: Examination showed two areas of vitreous condensations associated with vitreous hemorrhage. Localized posterior vitreous detachment was confirmed on B-scan ultrasound. No retinal breaks were identified. CONCLUSION: The effects of whole-body vibration training have been well documented previously and parallels can be drawn with the effects of pneumatic drilling. Only one previous case of vitreous hemorrhage after whole-body vibration has been reported, and the authors urge vigilance in reporting this suspected association.
RESUMO
We report a case series of capsule contraction syndrome in 5 eyes of 4 patients and describe a previously unreported complication: full flexion of the haptics onto the anterior surface of the optic. Haptics have been reported to slide anterior to the optic while remaining in their original coronal plane. As surgeons move to the use of preloaded injectable IOLs, it is important to scrutinize haptic-optic junction design and IOL material in the light of this complication.
