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. 2009 Jul;23(2):175-8.
doi: 10.1016/j.sjopt.2009.05.002. Epub 2009 Aug 5.

Capsular phimosis with complete occlusion of the anterior capsular opening after intact continuous curvilinear capsulorrhexis

Soliman A Al-Kharashi  1 , Majed Al-Obailan
Affiliations

Capsular phimosis with complete occlusion of the anterior capsular opening after intact continuous curvilinear capsulorrhexis

Soliman A Al-Kharashi et al. Saudi J Ophthalmol. 2009 Jul.

Abstract

Shrinkage and whitening of the anterior capsule opening - capsular contraction syndrome - is a well-known complication after continuous curvilinear capsulorrhexis. A 72-year-old women underwent continuous curvilinear capsulorrhexis, phacoemulsification, and implantation of posterior chamber intraocular lens with polymethylmethacrylate haptics. Four months postoperatively, the patient reported deterioration in visual acuity that was resulted due to complete occlusion of anterior capsular opening by fibrotic tissue. The fibrous membrane was excised surgically in capsulorrhexis fashion.

Keywords: Capsular contraction syndrome; Capsular tension ring and YAG laser; Capsulorrhexis; Intraocular lens.

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Figures

Figure 1
Figure 1
Showing complete occlusion of the anterior capsule opening with fibrous membrane that contains a radiating folds.
Figure 2
Figure 2
Showing clear visual axis after removal of fibrous membrane with no recurrence after 6 months.
Figure 3
Figure 3
Showing the repeat capsulorrhexis technique.
See this image and copyright information in PMC

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