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    Ruptured Capsule Post-Vitrectomy and Trabeculectomy

    By Lisa B. Arbisser, MD
    Editors' Choice
    Cataract/Anterior Segment

    This 45-year-old diabetic developed a cataract within weeks of a trabeculectomy. When the glaucoma surgeon entered the eye during the trabeculectomy, the anterior capsule was likely punctured, which led to the intumescent cataract. Dr. Lisa Arbisser inspects the anterior capsule, discovering that the capsule scarred to the pigmented epithelium of the iris. Once she finds a plane, she sharply dissects it in order to locate the entire superior envelope of the bag. At the end of successful surgery, she inserts a one-piece lens in the eye. The patient regained 20/25 vision.