PURPOSE: To present an unusual complication of posterior capsulotomy such as monocular diplopia and to discuss the importance of capsulotomy size. CASE REPORT: A 57-year old man came to our clinic complaining of horizontal monocular diplopia in his right eye for the past 3 days. The patient had undergone a Nd:YAG capsulotomy in this eye 3 weeks before. Slit-lamp biomicroscopy under pupil dilation revealed a small capsulotomy and a considerable Elschnig pearl as the presumable cause of the diplopia. The rest of the examination was completely normal. RESULTS: After repeat Nd:YAG capsulotomy treatment, the diplopia disappeared. CONCLUSION: Capsulotomy size is a significant factor to consider when treating a posterior capsular opacification. A capsulotomy that is larger than the pupil diameter under scotopic conditions may avoid disturbances of vision such as monocular diplopia.
PURPOSE: To present an unusual complication of posterior capsulotomy such as monocular diplopia and to discuss the importance of capsulotomy size. CASE REPORT: A 57-year old man came to our clinic complaining of horizontal monocular diplopia in his right eye for the past 3 days. The patient had undergone a Nd:YAG capsulotomy in this eye 3 weeks before. Slit-lamp biomicroscopy under pupil dilation revealed a small capsulotomy and a considerable Elschnig pearl as the presumable cause of the diplopia. The rest of the examination was completely normal. RESULTS: After repeat Nd:YAG capsulotomy treatment, the diplopia disappeared. CONCLUSION: Capsulotomy size is a significant factor to consider when treating a posterior capsular opacification. A capsulotomy that is larger than the pupil diameter under scotopic conditions may avoid disturbances of vision such as monocular diplopia.
Authors: Jose Javier Garcia-Medina; Monica Del Rio-Vellosillo; Vicente Zanon-Moreno; Enrique Santos-Bueso; Roberto Gallego-Pinazo; Antonio Ferreras; Maria Dolores Pinazo-Duran Journal: Biomed Res Int Date: 2015-06-08 Impact factor: 3.411