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Case Reports
. 2017 Dec 4;17(1):233.
doi: 10.1186/s12886-017-0630-0.

Complete occlusion of anterior capsulorhexis after uneventful cataract surgery, treated with YAG laser capsulotomy

Hoon Dong Kim  1 , Jae Min Kim  2 , Jong Jin Jung  3
Affiliations
Case Reports

Complete occlusion of anterior capsulorhexis after uneventful cataract surgery, treated with YAG laser capsulotomy

Hoon Dong Kim et al. BMC Ophthalmol. .

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.

Keywords: Anterior capsulorhexis; Capsular contraction syndrome; Fibrotic proliferation; Phacoemulsification; Total occlusion.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable

Consent for publication

Written informed consent to publish this case report was obtained from the patient.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Consecutive findings of silt-lamp biomicroscopy on the right eye. Total occlusion of anterior capsulorhexis opening was identified (a, b). Cleared anterior capsulorrhexis site followed by anterior capsulotomy using Nd:YAG laser (c, d). Capsulotomy site remained clearly after 6 months (e, f) and there was no remarkable change on capsulotomy site after 2 years (g, h)
See this image and copyright information in PMC

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