Sigler-Villanueva AA, Verona-Ugando L, Oñoz-Gálvez YS

Language: Spanish
References: 9
Page: 1-9
PDF size: 505.91 Kb.

ABSTRACT

Introduction: Vogt-Koyanagi-Harada disease is a rare granulomatous inflammation that affects pigmented structures. A miotic pupil that does not respond to mydriatic medication represents an event with a risk of complications in cataract surgery.
Objective: to present the results obtained with the intraoperative application of iris retractors in a cataract operation in a patient with Vogt-Koyanagi-Harada disease.
Case presentation: 50-year-old female patient with Vogt-Koyanagi-Harada syndrome and total cataract in the left eye. The patient was compensated for her inflammatory and hypertensive ocular symptoms. Her prior informed consent was requested. Iris retractors were used in the operation, and extracapsular extraction with insertion of intraocular lens was performed, without complications and without adverse events.
Conclusions: the iris retractors were useful to achieve good surgical results in the patient. A best-corrected visual acuity of 0,2 was obtained.

REFERENCES

1. Mendes-Lavezzo M, Mayumi-Sakata V, Morita C, Caso-Rodríguez EE, Frutuoso-Abdallah S, Da Silva FTG, et al. Vogt-Koyanagi-Harada disease: review of a rare autoimmune disease targeting antigens of melanocytes. Orphanet J Rare Dis [Internet]. 2016 [citado 7 Ene 2020];11(1):[aprox. 12 p.]. Disponible en: https://link.springer.com/content/pdf/10.1186/s13023-016-0412-4.pdf

2. Simaroj P, Lekhanont K, Charukamnoetkanok P. Modified surgical techniques for managing intraoperative floppy iris syndrome. Case Rep Ophthalmol Med [Internet]. 2016 [citado 6 Ene 2020];2016:[aprox. 5 p.]. Disponible en: https://pdfs.semanticscholar.org/3dec/7671df4c793a92fe76d0e3f57b67994613a2.pdf

3. Malyugin B. Cataract surgery in small pupils. Indian J Ophthalmol [Internet]. Dic 2017 [citado 6 Ene 2020];65(12):1323-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742960/

4. Aragonés-Cruz B, Piloto-Díaz I, Capote-Cabrera A. Manejo del síndrome de iris laxo intraoperatorio en la cirugía de cataratas. Rev Cubana Oftalmol [Internet]. Dic 2007 [citado 6 Ene 2020];20(2):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762007000200020

5. Cuan-Aguilar Y, Montero-Díaz E, Álvarez-Martínez J, Pérez-Candelaria E, Cárdenas-Díaz T, Hormigó-Puertas IF. Midriáticos intracamerales en la cirugía de catarata. Rev Cubana Oftalmol [Internet]. Mar 2019 [citado 14 Ene 2020];32(1):e691. Disponible en: http://scielo.sld.cu/pdf/oft/v32n1/1561-3070-oft-32-01-e691.pdf

6. March-de Ribot F. Utilización de felinefrina intracameral en la prevención del síndrome de iris fláccido intraoperatorio en cirugía de catarata [Internet]. Barcelona: Universidad Autónoma de Barcelona; 2015 [citado 22 Ene 2019]. Disponible en: https://ddd.uab.cat/pub/tesis/2016/hdl_10803_378364/fmdr1de1.pdf

7. Benjamín L. Cirugías de casos complejos. En: Benjamín L. Técnicas quirúrgicas en Oftalmología. Cirugías de las cataratas. Aylesbury: Elsevier Saunders; 2009. p. 115-25.

8. Hernández-López I, Pérez-Candelaria E, Cruz-Izquierdo D, Cárdenas-Díaz T, Veitía-Rovirosa Z. La ectopia lentis y las soluciones quirúrgicas en la cirugía de catarata. Rev Cubana Oftalmol [Internet]. Mar 2019 [citado 21 Ene 2020];32(1):e682. Disponible en: http://scielo.sld.cu/pdf/oft/v32n1/1561-3070-oft-32-01-e682.pdf

9. Pérez-Gómez D, García-González F, Novoa-Sánchez E. Facoemulsificación e implante de lente intraocular en cataratas causadas por uveítis. Rev Cubana Oftalmol [Internet]. Jun 2008 [citado 9 Sep 2019];21(1):[aprox. 10 p.]. Disponible en: http://scielo.sld.cu/pdf/oft/v21n1/oft09108.pdf