Dr.Aanchal Mehta, A19864
Sixty-one year old male presented with complaints of disabling glare, worse while driving at night, few days after cataract surgery in the left eye. He described his symptom as a line of glare originating from a single point source of light. BCVA was 6/6, N6 in both eyes (– 0.75 DSph and +0.50 DSph in right and left eye, respectively). Anterior segment evaluation was unremarkable except for a single longitudinal fold in the posterior capsule oriented along the 10 and 4 o’clock axis. IOP was normal as was retinal examination. The patient’s symptoms were attributed to the solitary PC fold which caused a Maddox rod – like effect. This fold acts as a cylindrical lens that creates a light streak oriented perpendicular to its axis. Nd:YAG capsulotomy has been reported to decrease glare but not entirely relieve the symptoms. This case report highlights the importance of careful history taking and ophthalmic examination, especially if initial examination is found to be unremarkable.
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