title: Anterior capsule phimosis and capsular block syndrome in a patient with Steinert myotonic dystrophy: a case report.
abstract: A 55-year-old man with myotonic dystrophy underwent phacoemulsification with IOL implantation in the right eye.3 months after surgery, the patient showed a decreased visual acuity and an intraocular pressure (IOP) of 30 mmHg. Slit lamp examination showed a dense fibrosis of the anterior capsule with capsulorexis' shrinkage. Gonioscopy showed a closed angle. After a YAG laser iridotomy no decrease in the IOP was detected; following surgical peeling of the anterior capsule, the slit lamp showed a distended capsular bag. A YAG laser posterior capsulotomy was performed, without decrease in the IOP. Myotonic patients need to be closely followed up after cataract surgery, because in case of CBS development a prompt posterior capsulotomy could avoid more severe complications.
authors.affiliation: Centro Grandi Apparecchiature, 2nd University of Naples, Naples, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Rosa
authors.forename: Michele
authors.initials: M
authors.lastname: Lanza
authors.forename: Maddalena
authors.initials: M
authors.lastname: De Bernardo
authors.forename: Maria
authors.initials: M
authors.lastname: Borrelli
authors.forename: Luisa
authors.initials: L
authors.lastname: Politano