title: Late-onset hyaloideocapsular block syndrome.
abstract: OBJECTIVE
  To report an unusual cause of decreased vision in an aphakic patient.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  One patient.
  
  
  METHODS
  An 80-year-old woman presented with a myopic shift and decreased visual acuity in the left eye 16 years after extracapsular cataract extraction (ECCE) without intraocular lens (IOL) implantation. Slit-lamp examination after pupil dilation revealed a milky fluid accumulation between the posterior lens capsule and the anterior hyaloid membrane. A neodymium:yttrium-aluminium-garnet (Nd:YAG) laser hyaloidotomy was performed on the anterior hyaloid membrane.
  
  
  METHODS
  Refraction and best-corrected visual acuity.
  
  
  RESULTS
  The Nd:YAG laser hyaloidotomy allowed the trapped fluid to flow into the vitreous cavity. The myopic shift disappeared immediately and visual acuity improved.
  
  
  CONCLUSIONS
  To our knowledge, this is the first report of a late-onset hyaloideocapsular block syndrome after ECCE without IOL implantation.
authors.affiliation: Service Ophtalmologie, Hôpital Purpan, Toulouse, France. pierrefournie@yahoo.com
authors.forename: Pierre
authors.initials: P
authors.lastname: Fournié
authors.forename: François
authors.initials: F
authors.lastname: Malecaze
authors.forename: Corinne
authors.initials: C
authors.lastname: Ponchel
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Arné
mesh_terms: D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000150:complications; D001826:Body Fluids; D002387:Cataract Extraction; D005128:Eye Diseases / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D007905:Lens Diseases / Q000209:etiology* / Q000601:surgery; D009216:Myopia / Q000209:etiology; D011183:Postoperative Complications; D012029:Refraction, Ocular; D013577:Syndrome; D014792:Visual Acuity; D014822:Vitreous Body / Q000473:pathology* / Q000601:surgery