Capsular bag distention syndrome noted 5 years after intraocular lens implantation

Abstract

Purpose: To describe a case of capsular bag distention syndrome with opaque contents noted 5 years after intraocular lens implantation.

Methods: A 66-year-old man underwent phacoemulsification after circular capsulorhexis and intraocular lens implantation in the left eye. Five years later, the posterior capsule was vaulted far posteriorly, the capsular opening was apparently sealed by the lens optic, and the bag contents were slightly opacified. Two years later, the contents of the hyperdistended capsular bag showed intensified opacity, causing definite blurred vision.

Results: The opacified medium was emptied from the capsular bag posteriorly into the vitreous after Nd:YAG laser capsulotomy, and the distended capsule was restored.

Conclusions: Our findings suggest that the contents were collagens produced by residual lens epithelial cells or necrotic and/or apoptotic autolyzed lens epithelial cells.