Complete anterior capsule contraction after phacoemulsification with acrylic intraocular lens and endocapsular ring implantation.
A 69-year-old man with pseudoexfoliation syndrome and bilateral cataract had phacoemulsification with continuous curvilinear capsulorhexis and implantation of a morcher endocapsular ring and AcrySof acrylic intraocular lens (IOL) (Alcon). Two months later, the patient had vision loss in the left eye with a visual acuity of 20/500. He presented with anterior capsule fibrosis in both eyes, with complete occlusion of the capsule opening in the left eye and mild occlusion in the right eye. After a neodymium:YAG laser anterior capsulotomy in the left eye, visual acuity was 20/20. This case shows that endocapsular ring implantation does not prevent anterior capsule contraction syndrome but can prevent IOL decentration.
Moreno-Montañés
Javier
J
Navarra University Clinic, Pamplona, Navarra, Spain. jmoreno@unav.es
Sánchez-Tocino
Hortensia
H
Rodriguez-Conde
Rosa
R
D000180:Acrylic Resins; D000368:Aged; D019923:Capsulorhexis; D002386:Cataract / Q000150:complications; D003286:Contracture / Q000209:etiology*; D017889:Exfoliation Syndrome / Q000150:complications; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D007910:Lenses, Intraocular; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000009:adverse effects*; D013577:Syndrome; D014786:Vision Disorders; D014792:Visual Acuity
D000180:Acrylic Resins