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Case Reports
. 2015 Oct-Dec;5(4):192-194.
doi: 10.1016/j.tjo.2014.10.003. Epub 2014 Dec 2.

Rapid anterior capsular phimosis after cataract surgery in a patient with chronic angle closure glaucoma

Pei-Yao Chang  1   2 , Shu-Wen Chang  1   2
Affiliations
Case Reports

Rapid anterior capsular phimosis after cataract surgery in a patient with chronic angle closure glaucoma

Pei-Yao Chang et al. Taiwan J Ophthalmol. 2015 Oct-Dec.

Abstract

We report a case of complete occlusion of capsulorrhexis opening in a patient with chronic angle closure glaucoma with fixed-dilated pupil in the following 2 weeks after an uneventful cataract surgery. The capsulorrhexis diameter was intended to make between 5.0 mm and 5.5 mm, to prevent photophobia afterward. There was no evidence of zonular weakness on preoperative examination or during the surgery. Nd:YAG anterior capsulotomy was performed for capsular phimosis and to enlarge capsulorrhexis. The patient regained her visual acuity 3 days after laser treatment, and no pseudophakodonesis, intraocular lens decentration, and re-phimosis were noted at the 3-month follow-up.

Keywords: anterior capsular contraction syndrome; continuous curvilinear capsulorrhexis; hydrophilic intraocular lens.

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Conflict of interest statement

Conflicts of interest: No author has a financial or proprietary interest in any material or methods mentioned.

Figures

Fig. 1
Fig. 1
Slit-lamp biomicroscopy showed anterior capsule phimosis with capsule wrinkle. Nd:YAG anterior capsulotomy was performed for occluded capsulorrhexis opening and to enlarge capsulorrhexis.
Fig. 2
Fig. 2
Slit-lamp biomicroscopy showed enlarged capsulorrhexis 3 days after anterior capsulotomy with Nd:YAG laser.
See this image and copyright information in PMC

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