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    Grand Rounds

    A patient presented with decreased vision in both eyes several days after undergoing bilateral YAG vitreolysis for symptomatic vitreous floaters at an outside clinic. Best corrected visual acuity was 20/50 in the right eye and 20/30 in the left eye, with normal intraocular pressures bilaterally. Slit lamp examination demonstrated 2+ nuclear sclerotic cataracts in both eyes, with two focal areas of posterior capsular fibrosis in the right eye and a central area of posterior capsular fibrosis in the left eye. Dilated fundus examination revealed bilateral posterior vitreous detachments without retinal pathology. Based on the clinical findings and temporal relationship to the procedure, the patient was diagnosed with bilateral posterior capsule rupture secondary to YAG vitreolysis and was scheduled for sequential cataract extraction. During cataract surgery in the right eye, a posterior capsule rupture consistent with laser-induced injury was confirmed intraoperatively. An anterior vitrectomy followed by a core pars plana vitrectomy was performed to safely remove vitreous prolapse and complete the procedure. At one month postoperatively, the patient achieved a best-corrected visual acuity of 20/20 in the operated eye.

    Presentation Date: 07/16/2026
    Issue Date: 07/17/2026

    • Presenter: Mya Abousy, MD URL
    • Faculty Discussant: Elena Bitrian, MD URL

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