Postoperative Capsular Bag Distension Syndrome – Risk Factors and Treatment

Kanclerz, Piotr; Wang, Xiaogang

doi:10.1080/08820538.2019.1640750

Cited by 16 publications

(13 citation statements)

References 73 publications

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“…28 Clinically, SSNGs should be distinguished from late capsular bag distension syndrome. 32 In these cases, the degradation of vision is due to the opacity of intracapsular fluid that is present in the distended capsular bag, and not the IOL itself.…”

Section: Subsurface Nanoglistenings (Ssngs)mentioning

confidence: 99%

“…44 As in the intracapsular fluid of patients with capsular bag distension syndrome, the concentration of calcium phosphates may be higher than in normal aqueous humor, which may also stimulate calcification. 32,36 Calcification was also reported after surgeries subsequent to phacoemulsification cataract surgery in which intraocular gases are used (ie, posterior lamellar keratoplasty or pars plana vitrectomy). 13,35,[45][46][47][48][49] In these cases the opacifications are confined to the anterior IOL surface and show a central pattern.…”

Section: Calcificationmentioning

confidence: 99%

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Microscopic Characteristics of Late Intraocular Lens Opacifications

Kanclerz¹,

Yildirim

Khoramnia

2020

Archives of Pathology &Amp; Laboratory Medicine

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Context.— The increases in overall life expectancy and in lens surgeries performed on younger patients have resulted in a significant increase in the anticipated duration of artificial intraocular lenses (IOLs) in the eye. Thus, the physicochemical properties of the IOL become a critical issue, and several types of postoperative IOL opacifications have been reported. Objective.— To describe the microscopic characteristics of opacified IOLs. Glistenings and subsurface nanoglistenings are fluid-related phenomena developing mainly in hydrophobic acrylic IOLs and are associated with aqueous influx into the IOL matrix. Calcification presents in hydrophilic acrylic or silicone IOLs as deposits of hydroxyapatite or other phases of calcium. Snowflake degeneration is less common, and it manifests in older polymethyl methacrylate IOLs. Data Sources.— PubMed and ScienceDirect databases were searched for the following keywords: intraocular lens, IOL, cataract surgery, phacoemulsification, opacification, glistening, subsurface nanoglistenings, calcification, snowflake degeneration. English-language articles published up to October 15, 2019 were included in the study. The manuscript contains mainly a literature review; however, it was supplemented with original investigations from the David J. Apple International Laboratory for Ocular Pathology Conclusions.— Glistenings and subsurface nanoglistenings should be evaluated in hydrated state and at room temperature; they manifest as microvacuoles sized from 1.0 to greater than 25.0 μm and less than 200 nm, respectively. Calcification deposits are situated on or underneath the surface of the IOL and can be stained with a 1% alizarin red solution or with the von Kossa method. Snowflake degeneration manifests as “particles” or “crystals,” causing whitish IOL discoloration. Scanning electron microscopy or energy dispersive X-ray spectroscopy may improve the diagnostic accuracy.

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Section: Subsurface Nanoglistenings (Ssngs)mentioning

confidence: 99%

Section: Calcificationmentioning

confidence: 99%

Microscopic Characteristics of Late Intraocular Lens Opacifications

Kanclerz¹,

Yildirim

Khoramnia

2020

Archives of Pathology &Amp; Laboratory Medicine

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“…1270 This complication is characterized by an accumulation of a milky or clear fluid behind the lens optic associated with anterior displacement of the lens, which may induce decreased vision and produce a myopic refractive shift. 1271,1272 Although uncommon, complications of laser capsulotomy include increased IOP, 1273 RD, CME, corneal abrasion, iritis, vitritis, damage to the IOL, persistent floaters, and dislocation of the IOL. 1274 There have been case reports of macular hole formation 1275,1276 and indolent endophthalmitis 1277 following laser capsulotomy.…”

Section: P57mentioning

confidence: 99%

Cataract in the Adult Eye Preferred Practice Pattern®

et al. 2022

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“…Pooperacyjny zespół rozdęcia torebki soczewki (CBDS, capsular bag distension syndrome) to rzadko występujące powikłanie po operacji zaćmy, które jest opisywane u 0,73-1% pacjentów [1]. Może się ono rozwinąć kilka dni po operacji, natomiast jego objawy -w ciągu kilku lat [1]. Zespół ten charakteryzuje się ścisłym przyleganiem sztucznej soczewki wewnątrzgałkowej (IOL, intraocular lens) do brzegów kapsuloreksji, co skutkuje gromadzeniem się płynu wewnątrz torebki soczewki.…”

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Zespół rozdęcia torebki soczewki – rzadkie powikłanie po operacji zaćmy

Kanclerz¹,

Przewłócka²

2020

Ophthatherapy

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Zespół rozdęcia torebki soczewki jest rzadkim powikłaniem po operacji usunięcia zaćmy, które może się rozwinąć nawet wiele lat po zabiegu. Do głównych objawów zalicza się nagłe lub stopniowe przesunięcie wady refrakcji w kierunku krótkowzroczności, a w przypadku zmętnienia płynu wewnątrztorebkowego również pogorszenie ostrości wzroku. Optyczna koherentna tomografia przedniego odcinka oka może potwierdzić rozpoznanie, pomocne może być także obrazowanie kamerą Scheimpfluga bądź biomikroskopią ultradźwiękową. Za złoty standard leczenia uznaje się kapsulotomię tylną (ewentualnie przednią) laserem Nd:YAG. Korzyścią z leczenia chirurgicznego jest możliwość całkowitego usunięcia płynu wewnątrztorebkowego. W poniższej pracy przedstawiono współczesną klasyfikację, metody diagnostyczne i zasady postępowania w zespole rozdęcia torebki soczewki.

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Postoperative Capsular Bag Distension Syndrome – Risk Factors and Treatment

Cited by 16 publications

References 73 publications

Microscopic Characteristics of Late Intraocular Lens Opacifications

Microscopic Characteristics of Late Intraocular Lens Opacifications

Cataract in the Adult Eye Preferred Practice Pattern®

Zespół rozdęcia torebki soczewki – rzadkie powikłanie po operacji zaćmy

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