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Rubeosis capsulare.

D E Eifrig1, V Hermsen, P McManus

  • 1Department of Ophthalmology, University of North Carolina, Chapel Hill 27514.

Journal of Cataract and Refractive Surgery
|September 1, 1990
PubMed
Summary
This summary is machine-generated.

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Diabetic patients undergoing cataract surgery developed rubeosis capsular, a neovascularization complication. Standard laser treatment failed, but one patient improved after vitrectomy with endophotocoagulation.

Area of Science:

  • Ophthalmology
  • Diabetic Retinopathy
  • Cataract Surgery

Background:

  • Diabetes mellitus is a leading cause of visual impairment.
  • Cataract surgery, including intraocular lens (IOL) implantation, is common in diabetic patients.
  • Neovascularization complications can arise in diabetic eyes.

Observation:

  • Two diabetic patients developed rubeosis iridis and neovascularization within the lens capsule post-IOL implantation.
  • This specific complication was termed rubeosis capsular.
  • Standard argon laser treatment proved ineffective for both cases.

Findings:

  • One patient achieved successful resolution following vitrectomy with endophotocoagulation.
  • The second patient experienced a fibrinoid reaction, persistent inflammation, rubeosis, and ultimately phthisis bulbi after vitrectomy.

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Implications:

  • Rubeosis capsular is a severe complication of cataract surgery in diabetic patients.
  • Conventional treatments like argon laser photocoagulation may be ineffective.
  • Vitrectomy with endophotocoagulation shows potential as a treatment, but outcomes can vary.
  • Further research is needed to understand and manage this condition effectively.