Complete Occlusion of Anterior Capsular Opening in Patient Operated for Cataract With Penetrating Keratoplasty

Abstract

A 68-year-old female underwent a full-thickness penetrating keratoplasty (PK) and developed a mature cataract for which she was operated on using the phacoemulsification technique with the implantation of polymethyl methacrylate lens. The patient developed diminished vision one month after the cataract surgery. The patient had a contraction of the anterior capsular opening. Neodymium-doped yttrium aluminum garnet laser (ND:YAG) anterior capsulotomy was performed to create an opening in the anterior capsule, following which the patient regained her vision. To the best of our knowledge, this is the first report of early anterior capsular contraction in a patient operated for PK.

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

“…In clinical practice, in addition to the aforementioned conditions, other diseases have been reported to be associated with ACCS, such as chronic angle-closure glaucoma ( 75 , 76 ), Marfan syndrome ( 77 ) and those following full-thickness penetrating keratoplasty ( 78 ). These may also be associated with weakened zonules or inflammatory responses.…”