Indian Journal of Ophthalmology (Jan 2012)
Endothelial cell study in a case of Werner′s syndrome undergoing phacoemulsification and Yettrium-Aluminum-Garnet laser capsulotomy
- Vasudha Kemmanu,
- Somshekar Nagappa,
- Kaushik Hegde,
- Naresh K Yadav,
- Bhujang K Shetty
Affiliations
- Vasudha Kemmanu
- Somshekar Nagappa
- Kaushik Hegde
- Naresh K Yadav
- Bhujang K Shetty
- DOI
- https://doi.org/10.4103/0301-4738.103802
- Journal volume & issue
-
Vol. 60,
no. 6
pp. 570 – 572
Abstract
Werner′s syndrome (WS) is a rare autosomal recessive disorder with multisystem manifestations of premature aging from the second decade of life. Cataract is one of the features of WS. Cataract surgery is complicated with postoperative wound dehiscence and bullous keratopathy when the surgery is done by intracapsular or conventional extracapsular method. We report the short-term result of phacoemulsification and Neodymimum Yettrium-Aluminum-Garnet laser (Nd YAG) capsulotomy in a case of WS with bilateral cataracts. Postoperatively and post capsulotomy, there was no change in the endothelial cell morphology. There was an 8.6% decrease in endothelial cell count at the end of 15 months postoperatively and 11 months post YAG capsulotomy. This decrease is within the acceptable range of cell loss after phacoemulsification and YAG capsulotomy. To the best of our knowledge, this is the first reported case of YAG laser capsulotomy in WS.
Keywords
- Accommodation
- disaccommodation
- mydriasis
- phenylephrine hydrochloride
- pupil
- velocity
- Growth
- human adult
- lens diameter
- lens dry weight
- lens thickness
- lens wet weight
- Silicone oil removal
- encirclage
- 360 retinopexy
- oil emulsification
- silicone oil tamponade
- Age-related macular degeneration
- chorodial neovascularization
- ocular trauma
- polypoidal choroidal vasculopathy
- retinal macroaneurysm
- submacular hemorrhage
- subretinal hemorrhage
- tissue plasminogen activator
- vitrectomy
- Insulin-like growth factor-1
- insulin-like growth factor binding protein-3
- retinopathy of prematurity
- Brilliant Blue G
- dextrose normal saline 10%
- internal limiting membrane
- macular hole
- Angle closure
- anterior chamber angle
- blotchy pigments
- glaucomatous optic neuropathy
- peripheral anterior synechiae
- Cardiff acuity cards
- lea grating
- visual acuity in pre-verbal children
- Contrast sensitivity
- contrast visual acuity
- retinitis pigmentosa
- Bevacizumab
- choroidal neovacular membrane
- panuveitis
- triamcinolone acetonide
- Vogt-Koyanagi-Harada syndrome
- Spectacles
- spectacle dispensing
- spectacle dispensing errors
- Indian eyes
- normative database
- retinal nerve fiber layer thickness
- spectral domain optical coherence tomography
- Bilateral medial rectus palsy
- facial diplegia
- Moebius sequence
- Eclipse retinopathy
- epimacular membrane
- fundus autofluorescence
- optical coherence tomography
- Amniotic membrane transplantation
- ligneous conjunctivitis
- pseudomembrane
- topical cyclosporine
- Planned posterior assisted levitation
- posterior assisted levitation
- subluxated cataract
- zonular dialysis
- Endothelial cell count
- phacoemulsification
- Werner′s syndrome
- Yettrium-Aluminum-Garnet capsulotomy
