Abstract
Anterior hyaloidal fibrovascular proliferation was first described in phakic eyes with florid proliferative diabetic retinopathy after standard three-port pars plana vitrectomy. Severe vision-threatening complications of this entity are the development of complicated cataracts, vitreous hemorrhage, traction retinal detachment, ciliary body detachment, and finally phthisis bulbi. It was a recent observation that anterior hyaloidal fibrovascular proliferation can occur after uncomplicated extracapsular cataract extraction with an intraocular lens implant in proliferative diabetic eyes. After cataract surgery the course of the disease process seems to be much less severe; however, there is a risk of visual impairment and it may be useful to detect anterior hyaloidal fibrovascular proliferation early to treat it most effectively. The most important differential diagnosis of anterior hyaloidal fibrovascular proliferation after cataract extraction is rubeosis capsulare. Rubeosis capsulare develops with direct spread from iris neovascularization and thus the distinction between the two entities is made by observing whether the neovascularization is visible on the anterior or posterior surface of the posterior lens capsule.
Published Version
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