Total encapsulation and asymmetric deformation of an intraocular lens.
We report a case of marked anterior capsule contraction after uneventful cataract surgery in an 82-year-old women. The patient had implantation of a single-piece foldable acrylic intraocular lens (IOL) after phacoemulsification through a 3.0 mm superior corneal incision. Between 1 month and 5.5 months after surgery, significant anterior capsule contraction ensued with total encapsulation of the lens. The resultant fibrotic reaction, which had a localized tangential component, caused an asymmetric deformation and mild IOL displacement. The patient was treated on separate occasions with a neodymium:YAG laser anterior capsulotomy and surgical capsulotomy to release tension on the lens and clear the visual axis.
Tu
Kyaw Lin
KL
Department of Ophthalmology, Stepping Hill Hospital, England, Stockport, UK. kltu137@netscapeonline.co.uk
Carley
Fiona
F
Brown
Richard
R
D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D003286:Contracture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D005355:Fibrosis; D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D018918:Phacoemulsification / Q000009:adverse effects*; D014792:Visual Acuity
D000180:Acrylic Resins