Annals of Optometry and Contact Lens 2016;15(3):115-118.
Published online September 25, 2016.
A Case of Black Cataract Implemented with the Extracapsular Cataract Extraction
Sung Hyun Ahn, In Cheon You, Nam Chun Cho, Min Ahn
Department of Ophthalmology, Chonbuk National University Medical School1, Jeonju, Korea
Research Institute of Clinical Medicine of Chonbuk National University2, Jeonju, Korea
Biomedical Research Institute of Chonbuk National University Hospital3, Jeonju, Korea
Received: 16 May 2016   • Revised: 30 June 2016   • Accepted: 30 June 2016
Abstract
Purpose: We report a case of black cataract performed with extracapsular cataract extraction converted from phacoemulsification which was initially attempted during the operation.
Case summary: A 60-year-old woman was diagnosed with brunescent cataract and phakodonesis on her right eye. Twelve years ago, she was performed with pars plana vitrectomy due to retinal detachment on her right eye. Initially, phacoemulsification was planned under the retrobulbar anesthesia; however, it was modified to extracapsular cataract extraction during the operation due to hardness of the lens. The nucleus of the lens was then removed, and hydrophilic acrylic intraocular lens was inserted in the posterior capsule. The removed lens was black with naked eyes, and firm tire-like material. The histopathologic examination revealed nonsignificant findings.
Conclusions: Extracapsular cataract extraction has to be considered in case of a black cataract when severe brunescent cataract with the history of previous intraocular retinal operation is found during pre-operative examination.
Key Words: Black cataract; Brunescent cataract; Extracapsular cataract extraction; Phacoemulsification


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