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A case of an 'exploding' cataract (an iatrogenic posterior capsular rupture) following Nd:YAG laser iridectomy is described. Rapid cataract development was observed in the right eye of a 76-year-old female following an iridectomy. B-scan ultrasonography documented cortical debris in the vitreous cavity. The patient underwent an extracapsular cataract extraction and intraocular lens implantation. During the cataract extraction, a posterior capsular tear extending from the 10-o'clock to the 4-o'clock position was noted, through which fluffy cortical material was floating in the vitreous.
Dr. L.J. Katz, Glaucoma Service, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA 19107, USA
12.3 Laser iridoplasty (Part of: 12 Surgical treatment)