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Pars plana posterior capsulotomy in a patient with a telescope prosthesis for age-related macular degeneration.

OBJECTIVE
To demonstrate a surgical technique for visualization and removal of visually significant posterior capsule opacification (PCO) in a patient with a telescope prosthesis for end-stage age-related macular degeneration, in what is to our knowledge the first reported case of visually significant PCO associated with the use of this device.


METHODS
A pars plana capsulotomy using a 25-gauge vitrector was performed to remove PCO.


RESULTS
Pars plana capsulotomy was performed and visual acuity improved to pre-PCO levels. Challenges associated with the management of this condition are discussed.


CONCLUSIONS
The development of visually significant PCO in patients with a telescope prosthesis is a rare occurrence that poses a unique treatment dilemma. Given the risks of damaging the device with Nd:YAG laser, a method for pars plana capsulotomy using a 25-gauge vitrectomy instrument was determined and successfully performed to remove PCO in a telescope-implanted eye.