Cataract surgical problem

S. Masket, S. S. Lane, J. K. Shugar, O. F. Almallah, S. F. Brint, H. Seward, H. Morera, W. J. Stark

Research output: Contribution to journalReview articlepeer-review


An active 78-year-old woman had seemingly uneventful cataract extraction with lens implantation using sub-Tenon's anesthesia and an AcrySof lens in the bag through a superior limbal incision. Two days postoperatively, she had 2 small Nd:YAG laser capsulotomies in the posterior capsule near the edge of the optic to resolve capsule block and artificial myopia. A tonic pupil contributes to disabling glare and related phenomena postoperatively, and she cannot drive at night. The patient is intolerant of her current quality of vision and refuses a custom contact lens. Pilocarpine 0.5% induces miosis but does not adequately reduce her symptoms. How would you proceed?

Original languageEnglish (US)
Pages (from-to)636-640
Number of pages5
JournalJournal of cataract and refractive surgery
Issue number5
StatePublished - 2000

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems


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