Surgical treatment of complete anterior capsule contraction after cataract surgery

Autor: Akira Hirata, Shigefumi Ueno, Hidenobu Tanihara, Akira Kimura
Rok vydání: 2003
Předmět:
Zdroj: Acta Ophthalmologica Scandinavica. 82:461-462
ISSN: 1395-3907
DOI: 10.1046/j.1600-0420.2003.00204.x
Popis: n 80-year-old woman had exfoli-ation material at the papillaryarea and on the surface of the anteriorlens capsule in the right eye. Intraocu-lar pressure (IOP) was well controlledwith medication. Mild cataract withoutsignificant phacodonesis was noted.Phacoemulsification and aspiration(PEA) and intraocular lens (IOL)implantation with trabeculotomy wereperformed. During continuous curvi-linear capsulotomy (CCC), phaco-donesis of the mobile lens was foundalongwithanterior chambershallowing.After a 4–5-mm diameter CCC was per-formed, PEA was carried out carefully.During PEA, a zonulolysis withoutvitreous prolapse was found betweenthe 7 and 9 o’clock meridians (60 ). Anacrylic IOL (AcrySof, MA60BM,Alcon) was implanted in the capsularbag. Thirty-six days later, the patientcomplained of decreased visual acuity.The anterior capsule was completelyclosed and the IOL was dislocated(Fig.1). IOL extraction with capsule,anterior vitrectomy and sulcus suturingof a posterior chamber IOL were per-formed. We examined the extractedIOL with a scanning electron micro-scope. Complete closure of the anteriorcapsulorrhexis was observed. Theregion of the capsule where there waszonular attachment was shrunken anddislocated towards the centre (Fig.2A).Fibroblast-like cells were found in thearea of opacity at the central region ofthe anterior capsule (Fig.2B). Toprevent such an anterior capsule con-traction syndrome (Masket 1993)
Databáze: OpenAIRE
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