Complete capsulorhexis opening occlusion despite capsular tension ring implantation.
An 89-year-old woman and an 86-year-old woman had continuous curvilinear capsulorhexis, phacoemulsification, and implantation of a silicone plate-haptic intraocular lens. Because of presumed weak zonules (high age, pseudoexfoliation), a poly(methyl methacrylate) capsular tension ring was also implanted. Despite this, both patients reported deterioration in visual acuity that was the result of complete occlusion of the anterior capsule opening by fibrotic tissue 4 and 3 months postoperatively, respectively.
Department of Ophthalmology, University of Graz, Austria.
C W
CW
Faschinger
M
M
Eckhardt
D000368:Aged; D000369:Aged, 80 and over; D019923:Capsulorhexis; D002386:Cataract / Q000209:etiology* / Q000473:pathology; D005260:Female; D005355:Fibrosis; D005500:Follow-Up Studies; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification / Q000009:adverse effects*; D019904:Polymethyl Methacrylate; D019919:Prosthesis Implantation; D012826:Silicone Elastomers; D014792:Visual Acuity
D012826:Silicone Elastomers; D019904:Polymethyl Methacrylate