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Year : 2012  |  Volume : 60  |  Issue : 6  |  Page : 570-572

Endothelial cell study in a case of Werner's syndrome undergoing phacoemulsification and Yettrium-Aluminum-Garnet laser capsulotomy

1 Department of Pediatric Ophthalmology and Strabismus, Narayana Nethralaya, Bangalore, India
2 Department of Cornea & Refractive Surgery, Narayana Nethralaya, Bangalore, India
3 Department of Vitreo Retina, Narayana Nethralaya, Bangalore, India
4 Department of Cataract Services, Narayana Nethralaya, Bangalore, India

Correspondence Address:
Vasudha Kemmanu
Department of Pediatric Ophthalmology and Strabismus, Narayana Nethralaya, Super Specialty Eye Hospital and Post Graduate Institute of Ophthalmology, 121/C, Chord Road, Rajajinagar, 1st 'R' Block, Bangalore - 560 010
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.103802

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Werner's syndrome (WS) is a rare autosomal recessive disorder with multisystem manifestations of premature aging from the second decade of life. Cataract is one of the features of WS. Cataract surgery is complicated with postoperative wound dehiscence and bullous keratopathy when the surgery is done by intracapsular or conventional extracapsular method. We report the short-term result of phacoemulsification and Neodymimum Yettrium-Aluminum-Garnet laser (Nd YAG) capsulotomy in a case of WS with bilateral cataracts. Postoperatively and post capsulotomy, there was no change in the endothelial cell morphology. There was an 8.6% decrease in endothelial cell count at the end of 15 months postoperatively and 11 months post YAG capsulotomy. This decrease is within the acceptable range of cell loss after phacoemulsification and YAG capsulotomy. To the best of our knowledge, this is the first reported case of YAG laser capsulotomy in WS.

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