A Modified Femtosecond Laser Technique for Anterior Capsule Contraction Syndrome

Abstract

Anterior capsule contraction syndrome (ACCS) is a rare, late complication of cataract surgery, associated with impairment of visual function. In this paper, we describe a new surgical technique to treat ACCS by femtosecond laser procedure. The femtosecond laser was used to perform an anterior capsulotomy with a customized size, in order to avoid IOL damage. After ophthalmic viscosurgical device injection in the anterior chamber, the anterior capsule flap was separated from the IOL surface by gentle hydrodissection. This manoeuvre enabled an easy and safe removal of the fibrotic material by vitreal microscissors. Our technique allowed a complete removal of the fibrotic material and opening of the capsule, with immediate complete visual acuity recovery without IOL damage. In conclusion, femtosecond laser appears to be safe and effective for treatment of ACCS with long-lasting efficacy.

Late internalized double-flanged polypropylene with canabrava technique in patient with marfan syndrome

“…This zonular traction rarely may lead to IOL dislocation and retinal detachment. 13 This complication is strongly correlated with several ocular and systemic factors such as uveitis, retinitis pigmentosa and zonular…”

“…This zonular traction rarely may lead to IOL dislocation and retinal detachment. 13 This complication is strongly correlated with several ocular and systemic factors such as uveitis, retinitis pigmentosa and zonular weakness. Marfan syndrome and other connective tissue disorders is a predisposing factor for IOL displacement in ACCS.…”

“…If the fibrous membrane occludes the anterior capsule opening completely or partially it induces an impairment of visual function and it can be removed by using a Nd:YAG laser or by using femtosecond laser technology. 13,14 A surgical removal might be necessary in most severe cases. 15 Our patient had a peripheral fibrosis of the IOL and anterior capsule without affecting the visual axis, associated with lens dislocation, and therefore a surgical re-approach was needed.…”

Exploring anterion capsular contraction syndrome in cataract surgery: insights into pathogenesis, clinical course, influencing factors, and intervention approaches

“…The ACCS will have a negative impact on the patient's vision and visual quality. In severe cases, it may also lead to IOL dislocation (5)(6)(7). As a result, research on the factors influencing ACCS and intervention measures has become the foundation for ensuring postoperative visual quality stability in patients, especially for high myopia, retinitis pigmentosa (RP), and other high-risk patients.…”