Posters

Non-arteritic ischemic optic neuropathy after early postoperative capsular block syndrome in nanophthalmos cataract surgery

Poster Details

First Author: V.Osuna SPAIN

Co Author(s):    M. Srur Colombo   B. Garcia-Valcarcel Gonzalez   H. Donoso Torres   L. Ibares Frias           

Abstract Details

Purpose:

To report a case of nonarteritic ischemic optic neuropathy (NAION) developed after early postoperative capsular block syndrome in nanophthalmos cataract surgery.

Setting:

Unit of Cornea, Ophthalmology Department, Hospital Gregorio Marañon, Madrid (Spain).

Methods:

Medical records of a patient with an NAION after early postoperative capsular block syndrome in a nanophthalmos eye. We performed slit-lamp biomicroscopy, funduscopy, optical biometry, ultrasound imaging and disc and macular Optical Coherence Tomography (Cirrus HD-OCT).

Results:

74 years old woman with nanopthalmos and chorioretinal folds who had an uneventful right eye cataract surgery. On the postoperative fourth day, she presented an elevated intraocular pressure, refraction of -4.00 sphere, mydriasis, anterior displacement of the intraocular lens and disc edema. Early capsular block syndrome (CBS) and secondary NAION were diagnosed. CBS was resolved with posterior capsulotomy (YAG laser). On follow-up, she presented a Visual Acuity of 0.4, superior hemianopsia and inferior arciform defect in visual fields. Funduscopy showed a pale disc and thining of the retinal nerve fiber layer on Optical Coherence Tomography in superior and inferior sectors.

Conclusions:

Surgeries in nanophthalmic eye have significant risks and complications. A proper plan and examination before surgery must be done. Despite of that, problems can appear as our case.

Financial Disclosure:

None