The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Cortical remnant

Photo by Professor Chua chung Nen

This man who had a poorly dilated right pupil (due to previous attack of acute angle closure glaucoma) underwent an uneventful phacoemulsification and implant. His vision was 6/12 unaided on the first post-operative day. However, the vision decreased to 6/24 when reviewed two weeks later. Slit-lamp examination showed the pupil was partially occluded by a piece of cortex. YAG capsulotomy was performed to improve the vision.

 

Pupil partially occluded by a piece of cortex.

 

Post-YAG capsulotomy

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