Choroidal effusion and hypotony caused by severe anterior lens capsule contraction following cataract surgery.
OBJECTIVE
The case report describes a case of severe anterior capsular contraction associated with choroidal effusion.


METHODS
An 81 year old female with primary open angle glaucoma underwent routine phacoemulsification cataract surgery. Eight weeks following surgery the anterior capsule opening had reduced to 3 mm in size. Intraocular pressure was found to be 4 mmHg and B scan ultrasound revealed a large choroidal effusion. Anterior capsulotomy with Nd:YAG laser was performed. At review, two weeks later, the choroidal effusion had resolved and visual acuity had recovered.


CONCLUSIONS
The Nd:YAG laser radial relaxing capsulotomies helped relieve the capsular contraction and associated traction on the ciliary body.
Musa
F
F
Department of Ophthalmology, Arrowe Park Hospital, Wirral, United Kingdom. fayyaz@doctors.net.uk
Aralikatti
A K V
AK
Prasad
S
S
D000368:Aged; D000369:Aged, 80 and over; D015862:Choroid Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003286:Contracture / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D015814:Ocular Hypotension / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D016896:Treatment Outcome; D014463:Ultrasonography; D014792:Visual Acuity