Anterior capsular phimosis in eyes with a capsular tension ring.
A 64-year-old woman with zonular weakness in the left eye and a 79-year-old man with bilateral pseudoexfoliation and intraoperative zonular dehiscence had phacoemulsification with in-the-bag implantation of a single-piece poly(methyl methacrylate) intraocular lens (IOL) and a capsular tension ring. Ten to 12 weeks postoperatively, all 3 eyes developed significant visual loss secondary to capsule shrinkage and occlusion of the capsulorhexis opening. All eyes had a neodymium:YAG laser radial anterior capsulotomy, anterior capsulectomy, or both. Visual acuity was restored in all eyes despite slight IOL decentration.
Waheed
K
K
Sussex Eye Hospital, Eastern Road, Brighton, United Kingdom.
Eleftheriadis
H
H
Liu
C
C
D000368:Aged; D019923:Capsulorhexis; D002386:Cataract / Q000209:etiology*; D017889:Exfoliation Syndrome / Q000150:complications; D005260:Female; D005355:Fibrosis; D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D019904:Polymethyl Methacrylate; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D014786:Vision Disorders / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity
D019904:Polymethyl Methacrylate