Case series: “Double arch” changes caused by capsule contraction syndrome after cataract surgery in highly myopic eyes

Wang, Wei; Xu, Dongyan; Liu, Xin; Xu, Wen

doi:10.1186/s12886-021-02113-z

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…ККС является серьезным послеоперационным осложнением кругового капсулорексиса при факоэмульсификации. К предрасполагающим факторам развития ККС относят пожилой возраст пациентов со слабостью или повреждением цинновых связок и отягощенный соматический статус (общие системные заболевания, миотоническая дистрофия, синдром Марфана), глаукому, псевдоэксфолиативный синдром, увеит, диабетическую ретинопатию, высокую миопию, пигментный ретинит и маленький размер капсулорексиса [18][19][20][21][22]. Усиление ККС может сопровождаться разрывами цилиарного тела, хориоидальным кровоизлиянием, гипотонией глаза и дислокацией или децентрацией ИОЛ [23][24][25].…”

Section: Discussionunclassified

Enlargement of Phimotic Capsulorhexis Using Plasma Energy: A Case Series

Kumar¹

2021

Oftalʹmologiâ

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Purpose: to evaluate the effectiveness and safety of the plasma ablation technique of Fugo blade system to enlarge phimotic capsulotomies in the management of anterior capsule contraction syndrome.Patients and methods. Results of the enlargement of phimotic capsulotomies using the plasma ablation technique in 17 patients with anterior capsule contraction syndrome (10 men and 7 women, 18 eyes; average age — 73.8 ± 9.6 years) were retrospectively analyzed. Surgically, after pupil dilation, the anterior chamber was irrigated with a viscoelastic device (1.4 % solution of hyaluronic acid), and the tip of the Fugo blade was inserted through a 2.0–2.2 mm wide corneal incision. After slightly touching the anterior capsule, the apparatus was activated, and its tip was moved in a concentric manner, excising the required size of the fibrosed anterior capsule in a resistance-free fashion. Finally, the viscoelastic material was aspirated, and the incisions were hydrated.Results. Phimotic capsulotomies were enlarged in all cases. Except for three cases where the bimanual technique was required to ablate the anterior capsule, all other cases were managed single-handedly. The use of cohesive viscoelastic device (1.4 % solution of hyaluronic acid) made it possible to perform this procedure with minimum trauma and under visual control. No serious complications were encountered during surgery or in the early postoperative period. Patients were discharged 1–2 days after surgery. Corneal edema, which was observed in six eyes, resolved within 3–4 days. Visual acuity improved in all cases, except for 2 patients with complete glaucomatous optic atrophy. IOP remained under control in all cases. No negative effect on the hypotensive results of previous glaucoma surgeries was observed.Conclusion. The plasma-generating Fugo blade system is an effective and safe tool to enlarge phimotic capsulorhexis in a resistance-free fashion. It is easy to use, mastering of new surgical skills is not required, surgical trauma is minimal, the surgical time is reduced, and the patient’s rehabilitation period is significantly shortened.

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Section: Discussionunclassified

Enlargement of Phimotic Capsulorhexis Using Plasma Energy: A Case Series

Kumar¹

2021

Oftalʹmologiâ

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“…Thorough irrigation and aspiration to remove viscoelastic and residual lens particles from a deeper ciliary sulcus space in a myopic eye is important to prevent IOP elevation in the immediate postoperative period. Anterior capsular polishing is advisable to lower the risk of anterior capsular contraction syndrome, which is more common in myopic eyes and can lead to IOL subluxation [47,48].…”

Section: Surgical Considerations In Myopic Eyesmentioning

confidence: 99%

Addressing Glaucoma in Myopic Eyes: Diagnostic and Surgical Challenges

Vinod,

Salim

2023

Bioengineering

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Epidemiological and genetic studies provide strong evidence supporting an association between myopia and glaucoma. The accurate detection of glaucoma in myopic eyes, especially those with high myopia, remains clinically challenging due to characteristic morphologic features of the myopic optic nerve in addition to limitations of current optic nerve imaging modalities. Distinguishing glaucoma from myopia is further complicated by overlapping perimetric findings. Therefore, longitudinal follow-up is essential to differentiate progressive structural and functional abnormalities indicative of glaucoma from defects that may result from myopia alone. Highly myopic eyes are at increased risk of complications from traditional incisional glaucoma surgery and may benefit from newer microinvasive glaucoma surgeries in select cases.

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“…Another contributing factor is the zonular weakness in myopic eyes, which may exacerbate the imbalance between fibrotic changes in the capsule and centrifugal forces of the zonules [47]. CCS may lead to IOL subluxation and double folding [48].…”

Section: Refractive Outcomes and Complications Of Cataract Surgery In...mentioning

confidence: 99%

Cataract surgery in myopic eyes

Elhusseiny

Salim

2022

Current Opinion in Ophthalmology

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Purpose of reviewWe discuss the preoperative, intraoperative, and postoperative considerations for cataract surgery in eyes with high myopia. We also reviewed the recent literature on refractive outcomes and complications of cataract surgery in myopic eyes. Recent findingsSeveral novel intraocular lens (IOL) power calculation formulas have recently been developed to optimize refractive outcomes. Haigis formula is the most accurate among the third-generation IOL formulas. Novel formulas such as Barrett Universal II, Kane, and modified Wang-Koch adjustment for Holladay I formula provide a better refractive prediction compared with old formulas. Intraoperatively, the chopping technique is preferred to minimize pressure on weak zonules and reduce the incidence of posterior capsule rupture. Anterior capsular polishing is recommended to reduce the risk of postoperative capsular contraction syndrome (CCS). Postoperatively, complications such as refractive surprises, intraocular pressure spikes, and CCS remain higher in myopic eyes. Only 63% of myopic patients with axial length more than 26 mm achieve a visual acuity at least 20/40 after cataract surgery, mainly because of coexisting ocular comorbidities.

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Case series: “Double arch” changes caused by capsule contraction syndrome after cataract surgery in highly myopic eyes

Cited by 4 publications

References 15 publications

Enlargement of Phimotic Capsulorhexis Using Plasma Energy: A Case Series

Enlargement of Phimotic Capsulorhexis Using Plasma Energy: A Case Series

Addressing Glaucoma in Myopic Eyes: Diagnostic and Surgical Challenges

Cataract surgery in myopic eyes

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