title: Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics.
abstract: OBJECTIVE
  To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.
  
  
  METHODS
  A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.
  
  
  RESULTS
  We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.
  
  
  CONCLUSIONS
  This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.
authors.affiliation: Oxford Eye Hospital, Oxford University Hospitals, Oxford, UK.
authors.forename: M
authors.initials: M
authors.lastname: Zinkernagel
authors.affiliation: Oxford Eye Hospital, Oxford University Hospitals, Oxford, UK.
authors.forename: A
authors.initials: A
authors.lastname: Papazoglou
authors.affiliation: Oxford Eye Hospital, Oxford University Hospitals, Oxford, UK.
authors.forename: C K
authors.initials: CK
authors.lastname: Patel
mesh_terms: D000368:Aged; D057866:Anterior Capsule of the Lens / Q000473:pathology / Q000601:surgery*; D058442:Capsule Opacification / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005355:Fibrosis; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D012029:Refraction, Ocular / Q000502:physiology; D012086:Reoperation; D012189:Retrospective Studies; D013577:Syndrome; D014792:Visual Acuity / Q000502:physiology
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