Anterior capsular phimosis following Acrysof lens insertion

Removal of lens epithelial cells and the effect on capsulorhexis size

“…13,14 Although comparison of capsulorhexis opening shrinkage between the 2 groups in the first 2 weeks showed clinically significant differences, it was observed that the significance was of much higher order at the 6-month follow-up (Table 1). Further follow-up of these patients has shown a trend toward continued, but very slight, reduction in the size of the capsulorhexis opening in the control group, even after 6 months.…”

“…8,11 Some studies have implicated the IOL material as 1 of the important factors in the metaplastic change of the LECs to contractile cells; silicone lenses caused more capsule contracture than acrylic ones. [12][13][14][15] Silicone lenses (Allergan SI-40) were used in both the study and the control groups.…”

“…None of these patients had pseudoexfoliation, 8,9 diabetes, 10,11 high myopia, 3 pigmentary retinal degeneration, 1,12 atopic dermatitis, 13 history of ocular trauma, 14,15 or uveitis, 1 all of which are among the known risk factors for shrinkage of anterior capsule opening after phacoemulsification with IOL implantation. These 39 eyes were randomly divided into 2 groups.…”

Anterior capsular contraction after cataract surgery in eyes of diabetic patients

“…The CCC facilitates phacoemulsification of the nucleus in the posterior chamber and secures in the bag fixation of the intraocular lens (IOL). On the other hand, there are potential complications of CCC, including shrinkage and opacification of the anterior capsule, [1][2][3] which interferes with postoperative fundus-copy of the peripheral retina, retinal photocoagulation, and vitreous surgery in case they are necessary. This is especially crucial in patients with diabetes mellitus (DM), since the presence of DM is considered to be a risk factor for the contraction of anterior capsular opening (ACO).…”

Proliferation of lens epithelial cells on the Acrysof intraocular lens: clinical and histological features of a case

“…Similar in vivo findings were found in studies by Ibaraki et al , 8 and Nagamoto and Hara, 9 looking at PMMA IOLs. Furthermore, in capsule contraction syndrome, the fibrous metaplasia and eventual reduction of the capsular opening is due to proliferation of residual anterior lens epithelial cells 10 . It is also understood that anterior capsule opacification 11,12 and interlenticular opacification (a complication of piggyback IOL implantation) are a result of lens epithelial cell proliferation 13 …”