Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery.
OBJECTIVE
To report the clinical features and management of two patients with pseudophakic anterior capsule contraction with secondary tractional ciliary body detachments and hypotonous choroidal effusions.


METHODS
Case reports.


RESULTS
In two eyes of two patients with pseudophakia, severe anterior lens capsule contraction and tractional ciliary body detachments, anterior capsulotomy (one Nd:YAG laser, one surgical), was followed by resolution of the ocular hypotony and resolution/nonrecurrence of the choroidal effusions. In both cases, continuous curvilinear capsulorhexis was used during cataract surgery.


CONCLUSIONS
Anterior capsule contraction following pseudophakia may result in tractional ciliary detachment and secondary ocular hypotony. Radial anterior capsulotomy appeared to be effective in both cases.
Salzmann
J
J
Vitreoretinal Service, Moorfields Eye Hospital, London, United Kingdom. jsalzmann@beeb.net
Khaw
P T
PT
Laidlaw
A
A
D000368:Aged; D000869:Anterior Eye Segment / Q000473:pathology; D015862:Choroid Diseases / Q000209:etiology*; D002924:Ciliary Body / Q000473:pathology; D003286:Contracture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery; D008297:Male; D015814:Ocular Hypotension / Q000209:etiology*; D018918:Phacoemulsification / Q000009:adverse effects*; D019591:Pseudophakia / Q000150:complications; D014603:Uveal Diseases / Q000209:etiology