Nd:YAG capsulotomy for the management of posterior capsular amyloidosis

Sasha A. Mansukhani; Jose S. Pulido; Sunil S. Khanna

doi:10.1016/j.ajoc.2018.11.002

Nd:YAG capsulotomy for the management of posterior capsular amyloidosis

Sasha A. Mansukhani, Jose S. Pulido, Sunil S. Khanna

Ophthalmology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Purpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to the posterior capsule of the lens. Phacoemulsification followed by neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy was helpful in restoring vision. Conclusions and importance: Amyloid can reaccumulate in Berger's space, which is difficult to reach in phakic eyes during vitrectomy and can then cause decreased vision. Recognition of this interesting anatomic problem will allow for faster visual rehabilitation of the patient.

Original language	English (US)
Pages (from-to)	50-52
Number of pages	3
Journal	American Journal of Ophthalmology Case Reports
Volume	13
DOIs	https://doi.org/10.1016/j.ajoc.2018.11.002
State	Published - Mar 2019

Keywords

Nd:YAG capsulotomy
Posterior capsular amyloid
Recurrent ocular amyloidosis

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajoc.2018.11.002

Cite this

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title = "Nd:YAG capsulotomy for the management of posterior capsular amyloidosis",

abstract = "Purpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to the posterior capsule of the lens. Phacoemulsification followed by neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy was helpful in restoring vision. Conclusions and importance: Amyloid can reaccumulate in Berger's space, which is difficult to reach in phakic eyes during vitrectomy and can then cause decreased vision. Recognition of this interesting anatomic problem will allow for faster visual rehabilitation of the patient.",

keywords = "Nd:YAG capsulotomy, Posterior capsular amyloid, Recurrent ocular amyloidosis",

author = "Mansukhani, {Sasha A.} and Pulido, {Jose S.} and Khanna, {Sunil S.}",

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doi = "10.1016/j.ajoc.2018.11.002",

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volume = "13",

pages = "50--52",

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T1 - Nd:YAG capsulotomy for the management of posterior capsular amyloidosis

AU - Mansukhani, Sasha A.

AU - Pulido, Jose S.

AU - Khanna, Sunil S.

PY - 2019/3

Y1 - 2019/3

N2 - Purpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to the posterior capsule of the lens. Phacoemulsification followed by neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy was helpful in restoring vision. Conclusions and importance: Amyloid can reaccumulate in Berger's space, which is difficult to reach in phakic eyes during vitrectomy and can then cause decreased vision. Recognition of this interesting anatomic problem will allow for faster visual rehabilitation of the patient.

AB - Purpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to the posterior capsule of the lens. Phacoemulsification followed by neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy was helpful in restoring vision. Conclusions and importance: Amyloid can reaccumulate in Berger's space, which is difficult to reach in phakic eyes during vitrectomy and can then cause decreased vision. Recognition of this interesting anatomic problem will allow for faster visual rehabilitation of the patient.

KW - Nd:YAG capsulotomy

KW - Posterior capsular amyloid

KW - Recurrent ocular amyloidosis

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Nd:YAG capsulotomy for the management of posterior capsular amyloidosis

Abstract

Keywords

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