RESUMEN
OBJECTIVE: To demonstrate a surgical technique for visualization and removal of visually significant posterior capsule opacification (PCO) in a patient with a telescope prosthesis for end-stage age-related macular degeneration, in what is to our knowledge the first reported case of visually significant PCO associated with the use of this device. METHODS: A pars plana capsulotomy using a 25-gauge vitrector was performed to remove PCO. RESULTS: Pars plana capsulotomy was performed and visual acuity improved to pre-PCO levels. Challenges associated with the management of this condition are discussed. CONCLUSIONS: The development of visually significant PCO in patients with a telescope prosthesis is a rare occurrence that poses a unique treatment dilemma. Given the risks of damaging the device with Nd:YAG laser, a method for pars plana capsulotomy using a 25-gauge vitrectomy instrument was determined and successfully performed to remove PCO in a telescope-implanted eye.
Asunto(s)
Extracción de Catarata/métodos , Cápsula del Cristalino/cirugía , Degeneración Macular/cirugía , Dispositivos Ópticos , Complicaciones Posoperatorias , Prótesis e Implantes , Catarata/etiología , Humanos , Cápsula del Cristalino/patología , Implantación de Prótesis , Agudeza Visual/fisiología , Vitrectomía/instrumentaciónRESUMEN
Massive pericardial effusion is rarely the sole clinical presenting symptom of sarcoidosis. Herein we report a case of recurrent pericardial effusions requiring surgical intervention secondary to sarcoidosis. A review of the literature regarding the prevalence/histopathology, the role of endomyocardial biopsy, the use of cardiac magnetic resonance imaging, and the utility of steroid based treatments in the management of cardiac sarcoidosis is discussed.