title: Postoperative occlusion of visual axis with fibrous membrane in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome: a case report.
abstract: BACKGROUND
  To report a case of postoperative fibrous membrane formation occluding the visual axis in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome.
  
  
  METHODS
  A 79-year-old Asian woman with pseudoexfoliation syndrome underwent uneventful phacoemulsification and implantation of one-piece hydrophilic acrylic square-edged intraocular lens (Cristalens) in the right eye. Two months later, she had blurred vision in the right eye with the best-corrected visual acuity (BCVA) of 20/40. Formation of fibrous membrane occluding the capsulorhexis opening with contraction of anterior capsule was observed, which was confirmed by anterior segment optical coherence tomography. Clear visual axis was achieved by lysis of the membrane using Nd:YAG laser. The BCVA improved to 20/20.
  
  
  CONCLUSIONS
  Occlusion of the visual axis with fibrous membrane can develop in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome.
authors.affiliation: Department of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, South Korea.
authors.forename: Eung Suk
authors.initials: ES
authors.lastname: Kim
authors.affiliation: Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, 156 Baengnyeong-ro, Chuncheon, Kangwon, 200-722, South Korea. kimmoo-79@daum.net.
authors.forename: Moosang
authors.initials: M
authors.lastname: Kim
authors.affiliation: Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, 156 Baengnyeong-ro, Chuncheon, Kangwon, 200-722, South Korea.
authors.forename: Seung-Jun
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, 156 Baengnyeong-ro, Chuncheon, Kangwon, 200-722, South Korea. m.sangbeom.han@gmail.com.
authors.forename: Sang Beom
authors.initials: SB
authors.lastname: Han
authors.affiliation: Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea.
authors.forename: Hee Kyung
authors.initials: HK
authors.lastname: Yang
authors.affiliation: Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea.
authors.forename: Joon Young
authors.initials: JY
authors.lastname: Hyon
mesh_terms: D000368:Aged; D057866:Anterior Capsule of the Lens / Q000473:pathology*; D017889:Exfoliation Syndrome / Q000601:surgery*; D005128:Eye Diseases / Q000209:etiology*; D005260:Female; D005355:Fibrosis; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000473:pathology*; D014786:Vision Disorders / Q000209:etiology*
keywords: Anterior capsular phimosis; Anterior segment optical coherence tomography; Case report; Fibrous membrane; Nd:YAG Laser; Pseudoexfoliation syndrome