Complete occlusion of anterior capsulorhexis after uneventful cataract surgery, treated with YAG laser capsulotomyopen access
- Authors
- Kim, Hoon Dong; Kim, Jae Min; Jung, Jong Jin
- Issue Date
- 4-Dec-2017
- Publisher
- BioMed Central
- Keywords
- Anterior capsulorhexis; Capsular contraction syndrome; Fibrotic proliferation; Phacoemulsification; Total occlusion
- Citation
- BMC Ophthalmology, v.17
- Journal Title
- BMC Ophthalmology
- Volume
- 17
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6905
- DOI
- 10.1186/s12886-017-0630-0
- ISSN
- 1471-2415
- Abstract
- Background: Capsular contraction syndrome (CCS) has been reported as an uncommon complication after an cataract extraction surgery with intact anterior capsulorhexis. This report is written to present a case of complete occlusion of the anterior capsulorhexis opening after an uneventful cataract surgery, which was treated with non-invasive treatment. Case presentation: A 69-year-old woman complained of decreased visual acuity in her right eye, which had started 2 months ago. She underwent phacoemulsification with an uneventful anterior capsulorhexis before 3 months. A total occlusion of the anterior capsulorhexis opening with capsular phimosis was identified on slit-lamp biomicroscopy, and a circular anterior capsulotomy using neodymium-doped yttrium aluminum garnet (Nd: YAG) laser was performed immediately. The capsulotomy site remained clear after a couple of years. Conclusions: It is supposed that proliferation of fibrotic tissue was relatively prominent in this case, rather than the appearance of capsular phimosis. This case can be an uncommon showing a total occlusion of the anterior capsulorhexis opening with prominent fibrotic proliferation pattern after an uneventful cataract surgery. Additionally, the occlusion could be removed with a non-invasive procedure, and was maintained clearly for several years.
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