case_images: PMC10723822_01
case_images: Preoperative images. a Slit lamp examination and (b) anterior segment optical coherence tomography (OCT) showing mild cataract. c Wide-field fundus photograph and (d) OCT showing macula-off rhegmatogenous retinal detachment due to upper-temporal side tear.
case_images: cop-2023-0014-0001-535428_F01.jpg
case_images: PMC10723822_01_cop-2023-0014-0001-535428_F01.jpg
case_images: F1
case_images: Both eyes had mild cortical cataracts (Fig. 1a, b); otherwise, the anterior segment was normal. Fundus examination revealed a break associated with lattice degeneration in the upper temporal side with temporal macula-off retinal detachment in the right eye (Fig. 1c, d).
case_images: Intraoperative view. a The eyeball was rotated for buckling suture placement. b A posterior lens opacity was found near the illumination.
case_images: cop-2023-0014-0001-535428_F02.jpg
case_images: PMC10723822_01_cop-2023-0014-0001-535428_F02.jpg
case_images: F2
case_images: For the buckling procedure, the eyeball was rotated with the fixed 4-0 ties (Fig. 2a). During the surgery, a posterior lens opacity on the superior nasal side was detected (Fig. 2b), which did not affect the surgery.
case_images: Intraoperative view showing (a) posterior capsule rupture and (b) postoperative view during cataract surgery. Postoperative photographs showing (c) wide-field fundus photograph and (d) OCT after retina reattachment.
case_images: cop-2023-0014-0001-535428_F03.jpg
case_images: PMC10723822_01_cop-2023-0014-0001-535428_F03.jpg
case_images: F3
case_images: During the cataract surgery, it was confirmed that the posterior capsule on the upper nasal side had ruptured (Fig. 3a). Lens extraction and anterior vitrectomy were performed, and the IOL was fixed using optic capture (Fig. 3b). After surgery, BCVA recovered to 20/40, and retinal detachment did not recur in the right eye (Fig. 3c, d).