Capsular bag distension syndrome after combined cataract and glaucoma surgery.
OBJECTIVE
To report four cases of capsular bag distension syndrome (CBDS) after combined cataract and glaucoma surgery.


METHODS
We describe the clinical features and evolution of each case after individual treatment.


METHODS
We report four cases of CBDS after phacoemulsification, combined with trabeculectomy in two cases and with an Ahmed aqueous drainage device implantation in the other two cases. The space between the intraocular lens (IOL) and the posterior capsule was occupied by an optically clear liquid in two cases and by a turbid liquid in the other two cases, with posterior bowing of the capsule into the anterior vitreous. A myopic shift and anterior chamber shallowing occurred in three cases. After posterior Nd:YAG laser capsulotomy, the CBDS resolved in three cases. In case 1, a surgical posterior capsulotomy and anterior vitrectomy were necessary.


CONCLUSIONS
Capsular bag distension syndrome should be included in the differential diagnosis of a shallow anterior chamber after combined cataract and glaucoma surgery.
Muñoz-Negrete
Francisco J
FJ
Hospital Ramón y Cajal, Glaucoma Unit, University of Alcala, Madrid, Spain. franciscojmunoz@telefonica.net
Rebolleda
Gema
G
D000368:Aged; D000867:Anterior Chamber / Q000473:pathology; D002386:Cataract / Q000150:complications / Q000628:therapy; D005260:Female; D005901:Glaucoma / Q000150:complications / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D007905:Lens Diseases / Q000209:etiology*; D019654:Lens Implantation, Intraocular; D008297:Male; D009216:Myopia / Q000209:etiology; D018918:Phacoemulsification; D011183:Postoperative Complications; D013577:Syndrome; D014130:Trabeculectomy