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 language||English (US)|
|Number of pages||5|
|Journal||Journal of cataract and refractive surgery|
|State||Published - Jan 1 2000|
ASJC Scopus subject areas
- Sensory Systems