Błona przedsiatkówkowa i rozwój poddołkowej neowaskularyzacji naczyniówkowej u pacjentki po kapsulotomii tylnej Nd: YAG
Epiretinal Membrane and Subfoveal Choroidal Neovascularization Development in a Patient after Nd: YAG Posterior Capsulotomy
Katarzyna Mozolewska-Piotrowska1, Aleksandra Dawiskiba2
1Katedra i Klinika Okulistyki Pomorskiego Uniwersytetu Medycznego w Szczecinie
Kierownik: dr hab. n. med. Wojciech Lubiński, prof. PUM, FEBO
2Katedra i Zakład Histologii i Embriologii Pomorskiego Uniwersytetu Medycznego w Szczecinie
Kierownik: prof. dr hab. Barbara Wiszniewska
Summary: Purpose: The aim of our paper is to present the case of rapid epiretinal membrane progression and subfoveal CNV development after Nd: YAG posterior capsulotomy in a patient with previous history of brain retinal vain occlusion.
Material and methods: A 76 years old woman was referred to our department 12 months after cataract extraction, for Nd: YAG posterior capsulotomy in her left eye. Because she had a history of general diseases (arterial hypertension and type II diabetes mellitus) as well as retinal diseases (retinal hypoperfusion areas in the left eye and inactive scar due to wet AMD in the fellow eye) eye fundus examination and optical coherence tomography examination were performed before the laser procedure and the follow-up time was extended up to 24 months to record any retinal complications.
Results: There were no changes in optical coherence tomography examination 3 weeks after capsulotomy, but gradual decrease in visual acuity (from 1.0 to 0.8 Snellen) accompanied by signs of epiretinal membrane formation in OCT and eye fundus examination were observed during the next 12 months. During the next year further visual acuity deterioration (to 0.4) and rapid epiretinal membrane progression occurred with macular thickness increase up to 364 µm. After the next 2 months visual acuity decreased to 0.2 due to subfoveal CNV development.
Conclusions: History of previous retinal diseases (both in treated and fellow eye), that might increase potential risk of retinal complications, should be taken into consideration during decision making about Nd: YAG posterior capsulotomy. Ongoing medical observation should be recommended in those patients.
Słowa kluczowe: błona przedsiatkówkowa, kapsulotomia tylna Nd: YAG, neowaskularyzacja podsiatkówkowa, zwyrodnienie plamki związane z wiekiem – AMD.
Keywords: epiretinal membrane, Nd: YAG posterior capsulotomy, choroidal neovascularization, age-related macular degeneration – AMD.