title: Intraoperative peripheral anterior capsulotomy to prevent early postoperative capsular block syndrome.
abstract: We describe a new surgical technique, intraoperative peripheral anterior capsulotomy (IPAC), to prevent early postoperative capsular block syndrome (CBS). Eighty consecutive patients (80 eyes) had phacoemulsification and intraocular lens implantation with IPAC in the presence of a small (4.5 to 5.0 mm) anterior continuous curvilinear capsulorhexis (CCC). Patients were followed for a mean of 16 months (range 6 to 24 months), and none developed CBS or other complications. Our series suggests that IPAC may be an alternative to prevent CBS in high-risk eyes, including those with a small anterior CCC or ophthalmic viscosurgical device material trapped in the capsular bag. This surgical technique is safe, effective, inexpensive, and easy to perform.
authors.affiliation: Clinica de Ojos de Maracaibo, Caracas 1010, Venezuela.
authors.forename: Juan B
authors.initials: JB
authors.lastname: Yepez
authors.forename: Jazmin Cedeño
authors.initials: JC
authors.lastname: de Yepez
authors.forename: J Fernando
authors.initials: JF
authors.lastname: Arevalo
mesh_terms: D000368:Aged; D000869:Anterior Eye Segment / Q000601:surgery*; D019923:Capsulorhexis / Q000009:adverse effects; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D013577:Syndrome