Patient: 52 years of age, female, BCVA 1.0, IOP 21 mmHg.
Ocular Medical History: cataract surgery in 2012.
General Medical History: empty.
Purpose: to present a focal island of lens epithelial cells on posterior capsule with a reproducible glaucoma-like visual field defect.
Methods: Colour Photography Anterior Segment, Visual Field, OCT.
Findings:
Colour Photography Anterior Segment: localized island of lens epithelial cells on inferior posterior capsule.
Visual Field: superior scotoma mimicking a reproducible glaucomatous visual field defect.
OCT: Regular retinal nerve fiber thickness.
Discussion:
Island of lens epithelial cells on posterior capsule were common postoperatively. A focal collection of lens epithelial cells on posterior capsule can mimic a glaucomatous visual field defect. García-Medina JJ et al. (1) concluded that focal posterior capsular opacification may alter visual field results, and may even simulate the perimetric behaviour of other pathologies such as glaucoma. Consequently, the presence of a focal posterior capsular opacification should be considered in the interpretation of any automated perimetry in pseudophakic patients.
Literature:
(1) García-Medina JJ, García-Medina M, Arbona-Nadal MT, Pinazo-Duran MD. Effect of posterior capsular opacification removal on automated perimetry. Eye (Lond). 2006 May;20(5):537-45
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