Rapid Capsular Phimosis in Retinitis Pigmentosa

Nikpoor, Neda; Stone, Donald U.

doi:10.3928/15428877-20100726-12

Cited by 17 publications

(18 citation statements)

References 6 publications

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“…Interestingly, Nikpoor and Stone reported a fairly similar presentation to our case 9. They described a 43-year-old man with retinitis pigmentosa who suffered from rapid anterior capsular contraction in each eye within 3 weeks following an uncomplicated phacoemulsification with continuous curvilinear capsulorhexis and a single-piece acrylic intraocular lens implantation 9.…”

Section: Discussionsupporting

confidence: 64%

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Rapid anterior capsular contraction after phacoemulsification surgery in a patient with retinitis pigmentosa

Jin-Poi¹,

Shatriah²,

Khairy-Shamel³

et al. 2013

OPTH

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A decrease in the anterior capsule opening after cataract surgery has been observed in eyes with weakened lens zonules. It commonly occurs in diabetes mellitus, uveitis, pseudoexfoliation syndrome, high myopia, and elderly patients. Herein, we report the case of a middle-aged man with advanced retinitis pigmentosa who developed a rapid contraction of the anterior capsule after an uneventful phacoemulsification surgery that resulted in severe visual loss during the early postoperative period.

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Section: Discussionsupporting

confidence: 64%

“…The occurrence of anterior capsule contraction or phimosis has been reported, ranging from months to years after uneventful cataract surgery 7,8,10,11. It is alarming to note that our patient and Nikpoor and Stone’s9 patient developed this similar problem less than a month following surgery.…”

Section: Discussionmentioning

confidence: 53%

Rapid anterior capsular contraction after phacoemulsification surgery in a patient with retinitis pigmentosa

Jin-Poi¹,

Shatriah²,

Khairy-Shamel³

et al. 2013

OPTH

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“…Rapid capsular phimosis may especially occur in patients with RP. 19 Precautions like CTRs should therefore be considered. 5 18 Ahmed and colleagues reported improvements in CTR technology enhancing the safety and efficiency in eyes with profound zonular instability.…”

Section: Discussionmentioning

confidence: 99%

Long-term clinical results after cataract surgery with and without capsular tension ring in patients with retinitis pigmentosa: a retrospective study

2013

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ObjectivesTo describe the long-term clinical outcomes after cataract surgery with and without capsular tension ring (CTR) in a group of patients with retinitis pigmentosa (RP).DesignA retrospective study.SettingTertiary referral centre.Participants52 eyes (46 patients) with RP.InterventionsCataract surgery was undertaken between October 2002 and May 2010.Primary and secondary outcome measuresVisual acuity, secondary cataract, capsular contraction syndrome (CCS), intraocular pressure, cystoid macular edema (CME), intraocular lens dislocation and endophthalmitis.ResultsThe mean age at surgery was about 53 years and the overall mean follow-up was 26 months (range 3–60 months). The mean preoperative logarithm of the minimal angle of resolution of the best corrected visual acuity (LogMAR BCVA) in the entire group was 1.45±0.85 (95% CI 1.21 to 1.69) and had increased to 1.32±0.95 (95% CI 1.06 to 1.58, p=0.02). The mean preoperative and the mean postoperative LogMAR BCVA in the non-CTR group (group 1) improved from 1.16±0.8 (95% CI 0.83 to 1.48) to 0.98±0.88 (95% CI 0.62 to 1.33, p=0.02) and in the CTR group (group 2) from 1.74±0.81 (95% CI 1.42 to 2.07) to 1.66±0.90 (95% CI 1.3 to 2.03, p=0.31), respectively. Secondary cataract was observed in a total of 23 eyes (44%), of which 13 (50%) were belonged to group 1 and 10 (38%) to group 2. CCS was seen in a total of two eyes (4%) all under group 1. CME was noted in two eyes (4%), of which one belonged to group 1 and a second one to group 2. Endophthalmitis was not observed in any group.ConclusionsBoth surgical approaches were beneficial to the RP patients. Eyes under group 2 showed less long-term postoperative complications. This includes secondary cataract and CCS. Eyes under group 1 performed significantly better in respect of visual acuity. Further research would include insights into the genetic subsets.

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“…Similar anterior capsular contracture happens in eyes with similar zonular in sufficiency such as in diabetes mellitus, uveitis, pseudoexfoliation syndrome, high myopia and elderly patients. This should be treated promptly by creating radial YAG laser capsulotomies [7]. Femtosecond laser pseudophakic capsulotomy can be used with advantage over the standard YAG capsulotomy.…”

Section: Common Postoperative Complicationsmentioning

confidence: 99%