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Case report
Management of cataract in a case of retinitis pigmentosa with bilateral pseudoexfoliation syndrome
  1. Sucheta Parija1 and
  2. Koyel Chakraborty2
  1. 1Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, India
  2. 2Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Sucheta Parija; suchetaparija{at}yahoo.com

Abstract

Retinitis pigmentosa (RP) patients are at higher risk for macular oedema, anterior capsular phimosis and spontaneous dislocation of the implanted lens after cataract surgery. A 70-year-old hypertensive woman presented with diminution of vision in her left eye since 2 years. She had history of cataract surgery in the right eye 1 year ago. Her visual acuity was 20/200 in right eye and hand movements in left eye. Slit-lamp examination showed anterior capsular phimosis with intraocular lens in the right eye and pseudoexfoliation in both the eyes. Fundus examination revealed features of RP in both the eyes. Optical coherence tomography showed bilateral foveal atrophy. The patient underwent phacoemulsification cataract surgery with intraocular lens implantation in left eye and Nd:YAG laser capsulotomy in right eye. Postoperative best corrected distance visual acuity was 20/125 in right eye and 20/80 in left eye. This case highlights a rare coincidence of pseudoexfoliation syndrome in a patient with RP and the precautions undertaken during cataract surgery for an optimal visual outcome.

  • glaucoma
  • retina

https://doi.org/10.1136/bcr-2020-238936

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    Footnotes

    • Contributors SP has the intellectual work on this case. She has designed, discussed and reviewed this article. KC has done literature review and edited the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.