Abstract
A 16-year-old boy with atopic dermatitis complained of poor vision in his left eye from mature cataract. After the cataract was surgically treated by phacoemulsification, retinal detachment with retinal tear at the infero-nasal vitreous base was found. The retina was reattached by scleral buckling, but then redetached later. The inferonasal ciliary processes were adherent to the posterior lens capsule, and this appeared to be the cause of the retinal tear. The retina was reattached by posterior capsulectomy and vitrectomy.
In some cases of atopic cataract associated with retinal detachment, the cataract must be surgically treated by phacoemulsification or extracapsular extraction in conjunction with posterior capsulectomy and anterior vitrectomy to relieve the traction to the vitreous base.
