Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation

Spang, Karoline; Rohrbach, Jens Martin; Weidle, E. G.

doi:10.1016/s0002-9394(98)00323-7

Cited by 47 publications

(48 citation statements)

References 3 publications

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“…5 A small randomized controlled trial demonstrated that polishing the anterior capsule at the end of surgery reduced the risk for ACO. 9 Continuous curvilinear capsulorhexis is associated with higher rates of capsule contraction syndrome than can-opener capsulotomy.…”

Section: Discussionmentioning

confidence: 99%

Capsule contraction syndrome with haptic deformation and flexion

Michael

O'Colmain

Vallance

et al. 2010

Journal of Cataract and Refractive Surgery

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We report a case series of capsule contraction syndrome in 5 eyes of 4 patients and describe a previously unreported complication: full flexion of the haptics onto the anterior surface of the optic. Haptics have been reported to slide anterior to the optic while remaining in their original coronal plane. As surgeons move to the use of preloaded injectable IOLs, it is important to scrutinize haptic-optic junction design and IOL material in the light of this complication.

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Section: Discussionmentioning

confidence: 99%

Capsule contraction syndrome with haptic deformation and flexion

Michael

O'Colmain

Vallance

et al. 2010

Journal of Cataract and Refractive Surgery

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“…Anterior capsule contraction syndrome (ACCS) is the result of fibrosis and collagen production that occurs when residual lens epithelial cells (LECs) in the anterior capsule near the continuous curvilinear capsulorhexis (CCC) margin come in contact with an IOL that is fixated in the capsular bag [5][6][7]. Numerous conditions (pseudoexfoliation syndrome, uveitis, advanced age, retinitis pigmentosa, trauma and diabetes mellitus) have been identified as risk factors for ACCS development [8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Comparison of anterior capsule contraction between hydrophobic and hydrophilic intraocular lens models

Tsinopoulos

Tsaousis

Kymionis

et al. 2010

Graefes Arch Clin Exp Ophthalmol

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“…Other techniques described in the literature involve the use of intraocular diathermy to remove fibrotic anterior capsules [7] and the excision of the central part of the fibrotic anterior capsule with microscissors in cases of complete occlusion of the capsular opening [8] .…”

Section: Discussionmentioning

confidence: 99%

A New Approach in the Surgical Management of Anterior Capsular Phimosis Syndrome

Panagopoulos¹,

Chalioulias²,

Kirkby³

2009

Ophthalmic Res

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Anterior capsular opacification and contraction syndrome is a well-recognised complication of uneventful phacoemulsification. It often results in a clinically significant reduction in vision secondary to central opacification, intraocular lens decentration and tilt. We report 3 cases of anterior capsular phimosis, which we treated using a new technique, where long, fine pointed scissors are used to cut the anterior capsule radially towards the edge of the lens optic and the edge is then grasped with capsulorrhexis forceps and the anterior capsule is torn away. The tear occurs at the edge of the optic because the anterior and posterior capsules are fused at this point. We believe that our technique offers a superior alternative for the effective, safe and quick management of anterior capsular phimosis, thereby improving the intraoperative fundus view for vitreoretinal surgery or delivery of laser treatment.

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Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation

Cited by 47 publications

References 3 publications

Capsule contraction syndrome with haptic deformation and flexion

Capsule contraction syndrome with haptic deformation and flexion

Comparison of anterior capsule contraction between hydrophobic and hydrophilic intraocular lens models

A New Approach in the Surgical Management of Anterior Capsular Phimosis Syndrome

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