Korean J Ophthalmol.  1999 Dec;13(2):105-109. 10.3341/kjo.1999.13.2.105.

Two cases of late postoperative capsular block syndrome

• Heo JY
• Ahn MD
• Joo CK

• KMID: 1127511
• DOI: http://doi.org/10.3341/kjo.1999.13.2.105

Abstract

Two cases of late postoperative capsular block syndrome that occurred 4 and 8.5 years, respectively, were encountered. One case underwent phacoemulsification after continuous curvilinear capsulorhexis in his left eye. The other case had a can opener type capsulorhexis and underwent extracapsular cataract extraction with trabeculectomy. One-piece posterior chamber lenses were implanted in both cases. Upon slit-lamp examination, the posterior capsules were found distorted posteriorly; the capsular openings were apparently sealed by the lens optic. A whitish material existed between the intraocular lens optic and posterior capsule, with thick aggregation in a lower fifth space in case 1. After Nd:YAG laser anterior capsulotomy in case 1, the thick aggregate spread diffusely on the posterior capsule which was sunken completely for 4 weeks. After Nd:YAG capsulotomy, the distorted posterior capsule disappeared and the best corrected visual acuity was restored to 20/20 in both cases.

MeSH Terms

Capsulorhexis
Case Report
Human
Laser Surgery
Lens Capsule, Crystalline/surgery
Lens Capsule, Crystalline/pathology*
Lens Implantation, Intraocular
Male
Middle Age
Phacoemulsification
Postoperative Complications*/surgery
Postoperative Complications*/pathology
Reoperation
Syndrome
Time Factors
Visual Acuity