Capsular bag distension with an acrylic intraocular lens

Omar, Osama; Eng, Calvin T.; Chang, Andrew; Durcan, F. Jane; Liss, Robert P; Stark, Bruce I.

doi:10.1016/s0886-3350(96)80099-x

Cited by 30 publications

(20 citation statements)

References 3 publications

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“…5 The syndrome involves forward displacement of an IOL against the capsulorhexis. It is associated with myopic refractive shifts of up to 5.0 D and has been successfully treated in some cases with anterior or posterior Nd:YAG capsulotomies.…”

Section: Discussionmentioning

confidence: 99%

Hyperopic shift in refraction associated with implantation of the single-piece Collamer intraocular lens

Sanders

Higginbotham²,

Opatowsky³

et al. 2006

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 99%

Hyperopic shift in refraction associated with implantation of the single-piece Collamer intraocular lens

Sanders

Higginbotham²,

Opatowsky³

et al. 2006

Journal of Cataract and Refractive Surgery

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“…Compared with early postoperative CBS, several studies have disclosed that late-onset CBS may be less likely to be involved in myopic shift, shallow ACD, or IOP elevation [24, 25]. Landa et al showed a mean refractive error change < 0.50 D in patients with late-onset CBS following posterior laser capsulotomy [4].…”

Section: Discussionmentioning

confidence: 99%

Outcome of Surgical Treatment in Late-Onset Capsular Block Syndrome

Huang

et al. 2017

Journal of Ophthalmology

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Purpose To further investigate the pathogenesis of late-onset capsular block syndrome (CBS) and to evaluate the safety of surgical treatment. Methods Seven patients diagnosed with late-onset CBS were retrospectively analyzed. Anterior chamber depth (ACD), intraocular pressure (IOP), refractive diopter, and best-corrected visual acuity (BCVA) before and after surgery were recorded. The opaque substance was tested with Western blot, and a flow cytometer multiple array assay system was utilized to evaluate the levels of inflammatory cytokines from opaque substance and aqueous humor, respectively. Results Patients who had undergone surgical treatment showed a significant BCVA and spherical equivalent refractive error improvement (P = 0.002, P = 0.021, resp.). Nevertheless, ACD and IOP before and after surgery were in normal range with no difference (P = 0.165, P = 0.749, resp.). αB-crystallin and βB-crystallin were detected in all opaque substances. Tumor necrosis factor-alpha (TNF-α) and interlukin-1β (IL-1β) levels in opaque substance were significantly higher than those in aqueous humor (P = 0.038, P = 0.007, resp.), while IL-2 and IL-6 were not detected in any samples. Conclusions Opaque substance is derived from human lens epithelial cells. Inflammatory cytokines may be involved in the pathogenesis of late-onset CBS. In addition, surgical treatment is an effective approach. This trial is registered with ChiCTR-IOR-17011287.

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“…[2][3][4][5] Variations include a late-onset syndrome with liquefied after-cataract formation 6-8 and occurrence from sulcus-fixated IOL, 9,10 which can cause angle-closure glaucoma in some eyes. 11 In a previous report, 12 we describe a case of capsular bag distension syndrome that developed after manual ECCE with IOL implantation.…”

Section: Discussionmentioning

confidence: 99%

“…Capsular bag distension syndrome or capsular block syndrome typically occurs in the immediate period after phacoemulsification as a result of occlusion of the anterior capsulorhexis opening by the intraocular lens (IOL) optic. [1][2][3][4][5] We report a case of distension of an incompletely formed capsular bag. Although the central and superior capsule had been removed by a neodymium:YAG (Nd:YAG) capsulotomy for posterior capsule opacification (PCO) after extracapsular cataract extraction (ECCE) and IOL implantation, the remaining anterior and posterior peripheral capsular leaves behind the sulcus-fixated IOL had adhered at their edges, forming a distended, incomplete capsular bag that caused clinical symptoms and signs.…”

mentioning

confidence: 99%

Incomplete capsular bag distension syndrome after neodymium:YAG capsulotomy

Agrawal¹,

Agrawal²,

Agrawal³

2006

Journal of Cataract and Refractive Surgery

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We report a 60-year-old man with incomplete capsular bag distension syndrome 2 years after neodymium:YAG (Nd:YAG) laser capsulotomy for capsule opacification, which developed from extracapsular cataract extraction with intraocular lens (IOL) implantation performed 4 years before presentation to our clinic. The patient reported floaters of 15 days duration. Slitlamp examination showed shallowing of the inferior and medial anterior chamber. Dilated pupil examination showed a peripheral capsular bag inferiorly and medially behind the IOL. The bag was distended and filled with turbid fluid. The central and superior capsule was absent as a result of the previous Nd:YAG treatment. The IOL lie over the anterior capsule, and peripheral capsule leaves' edges were adhered. An Nd:YAG laser puncture of the incomplete capsular bag resolved the condition.

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Capsular bag distension with an acrylic intraocular lens

Cited by 30 publications

References 3 publications

Hyperopic shift in refraction associated with implantation of the single-piece Collamer intraocular lens

Hyperopic shift in refraction associated with implantation of the single-piece Collamer intraocular lens

Outcome of Surgical Treatment in Late-Onset Capsular Block Syndrome

Incomplete capsular bag distension syndrome after neodymium:YAG capsulotomy

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