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Case Reports
. 2013 Dec 18;4(3):299-302.
doi: 10.1159/000357398. eCollection 2013 Sep.

Late-onset capsular block syndrome: unusually delayed presentation

M Rana  1 , L Jiang  1 , B Ilango  1 , Y C Yang  1
Affiliations
Case Reports

Late-onset capsular block syndrome: unusually delayed presentation

M Rana et al. Case Rep Ophthalmol. .

Abstract

Capsular block syndrome (CBS) has been known to occur as a rare complication of cataract surgery with continuous curvilinear capsulorhexis and a posterior-chamber lens implant. Typically, it presents with reduced vision in the early postoperative period and is characterised by a forward displacement of the posterior-chamber intra-ocular lens and an accumulation of intra-capsular opaque material. Management of CBS is usually by Nd:YAG laser capsulotomy. In this report, we describe a unique case of very-delayed-onset CBS with good visual acuity, occurring 8 years after surgery. It was treated successfully with surgical removal of the opaque material.

Keywords: Capsular bag distension; Capsular block syndrome; Posterior capsule; Propionibacterium acnes.

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Figures

Fig. 1
Fig. 1
a Anterior capsular fibrosis. b Retro-lenticular space filled with milky fluid. c Magnified view of the same.
Fig. 2
Fig. 2
Post-operative images of the right eye: no sign of milky fluid in the retro-lenticular space (a) and some posterior capsular thickening in the inferior capsule (b).
See this image and copyright information in PMC

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