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Updated: Oct 5, 2025
07:20
Inducement and Evaluation of a Murine Model of Experimental Myopia
Published on: January 22, 2019
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A mysterious myopic surprise.
Nicole R Fram1, Sahar Bedrood, Georges M Durr
1Los Angeles, California.
Journal of Cataract and Refractive Surgery
|January 27, 2022
Summary
A patient experienced a significant myopic surprise after cataract surgery with microstent implantation. This case highlights potential complications and the need for careful diagnosis and management in glaucoma patients.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Cataract Surgery
Background:
- A 73-year-old male with a history of inactive age-related macular degeneration and chronic angle-closure glaucoma (CACG) underwent femtosecond laser-assisted cataract surgery with intraocular lens (IOL) implantation and simultaneous Hydrus microstent implantation in the left eye.
- The patient had a history of acute angle-closure glaucoma (ACG) and complicated cataract surgery in the right eye, with a failed trabeculectomy and subsequent laser peripheral iridoplasty.
Observation:
- Two months postoperatively, the patient presented with a myopic surprise of approximately 2.0 diopters in the left eye.
- Examination revealed differences in visual acuity and intraocular pressure (IOP) between the eyes, with a shallow anterior chamber and iris abnormalities in the left eye.
Findings:
- The myopic surprise in the left eye, post-Hydrus microstent and cataract surgery, suggests a potential complication.
- Findings included a fibrotic pupillary membrane, iris transillumination defects, and lens pitting in the left eye, alongside elevated IOP.
Implications:
- This case underscores the importance of considering refractive surprises after combined glaucoma and cataract surgery.
- Further diagnostic evaluation and tailored management strategies are crucial for optimizing visual outcomes in complex glaucoma patients.
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