Postoperative occlusion of visual axis with fibrous membrane in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome: a case report

Kim, Eung Suk; Kim, Moo‐Sang; Lee, Seung Jun; Han, Sang Beom; Yang, Hee Kyung; Hyon, Joon Young

doi:10.1186/s12886-016-0394-y

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…As for mechanical studies, it has been indicated that the decrease or enlargement of the capsulorhexis area is associated with the resultant centrifugal force from the contraction of normal lens fibers and the resultant centripetal force from the contraction of lens fibers at the edge of the capsulorhexis area ( 13 , 14 ). Therefore, ACCS occurs in patients with weaken zonules because of the imbalance between the centrifugal force generated by the contraction of zonules and the centripetal force generated by the contraction of lens fibers at the edge of the capsulorhexis area.…”

Section: Pathogenesis Of Accsmentioning

confidence: 99%

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

Lin,

Ma,

Yang

2024

Front. Med.

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Anterior capsular contraction syndrome (ACCS) is a challenging complication that can occur following phacoemulsification cataract surgery. Characterized by capsular bag wrinkling, intraocular lens (IOL) decentration and tilt, ACCS can have negative effects on visual outcomes and patient satisfaction. This review aims to investigate the pathogenesis, clinical course, influencing factors, and intervention approaches for ACCS after cataract surgery. By understanding the underlying mechanisms and identifying factors that contribute to ACCS, surgeons can enhance their ability to predict and manage this complication. Various intervention strategies are discussed, highlighting their importance in reducing complications and improving surgical outcomes. However, further research is needed to determine optimal prevention and management strategies through long-term follow-up and comparative analyses. Advancements in this field will ultimately lead to improved visual outcomes and optimized cataract surgery for patients.

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Section: Pathogenesis Of Accsmentioning

confidence: 99%

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

Lin,

Ma,

Yang

2024

Front. Med.

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“…ACCS is characterized by an excessive fibrosis response after capsulorhexis, which causes reduction in the size of the anterior capsulotomy and capsular bag diameter. It is often associated with impairment of visual function [3][4][5][6][7][8]. Rarely, this zonular traction may lead to IOL dislocation and retinal detachment [1,9].…”

Section: Introductionmentioning

confidence: 99%

A Modified Femtosecond Laser Technique for Anterior Capsule Contraction Syndrome

Marenco

Mangiantini

Scuderi

et al. 2020

Journal of Ophthalmology

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Anterior capsule contraction syndrome (ACCS) is a rare, late complication of cataract surgery, associated with impairment of visual function. In this paper, we describe a new surgical technique to treat ACCS by femtosecond laser procedure. The femtosecond laser was used to perform an anterior capsulotomy with a customized size, in order to avoid IOL damage. After ophthalmic viscosurgical device injection in the anterior chamber, the anterior capsule flap was separated from the IOL surface by gentle hydrodissection. This manoeuvre enabled an easy and safe removal of the fibrotic material by vitreal microscissors. Our technique allowed a complete removal of the fibrotic material and opening of the capsule, with immediate complete visual acuity recovery without IOL damage. In conclusion, femtosecond laser appears to be safe and effective for treatment of ACCS with long-lasting efficacy.

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“… 1 , 3 Opacification and severe contraction of the anterior capsule can cause a reduction in visual quality, as well as intraocular lens (IOL) decentration and/or tilt. 4 – 6 In extreme cases, zonular traction may lead to IOL dislocation and retinal detachment. 7 …”

Section: Introductionmentioning

confidence: 99%

“…1,3 Opacification and severe contraction of the anterior capsule can cause a reduction in visual quality, as well as intraocular lens (IOL) decentration and/or tilt. [4][5][6] In extreme cases, zonular traction may lead to IOL dislocation and retinal detachment. 7 Since Davison first advocated the use of neodymium:YAG (Nd:YAG) laser anterior capsulotomy for disrupting the contraction forces without further surgical intervention, Nd:YAG laser radial anterior capsulotomies have typically been performed to enlarge the opening area when capsular phimosis develops.…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up of neodymium:YAG laser anterior capsulotomy for the treatment of anterior capsular phimosis

Zhang

Qian

2018

J Int Med Res

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ObjectiveTo investigate the long-term safety and efficacy of Nd:YAG laser anterior capsulotomy for the treatment of anterior capsular phimosis.MethodsWe retrospectively analyzed a consecutive case series of Nd:YAG laser anterior capsulotomy in patients with anterior capsular phimosis, who were treated between November 2012 and April 2014. Data collected included risk factors, interval between surgery and capsulotomy, best-corrected visual acuity (BCVA), and diameter of anterior capsule opening before and after Nd:YAG laser anterior capsulotomy.ResultsEleven eyes of 11 patients were included in the study. The mean follow-up time was 30.1 ± 4.5 months (range: 26–42 months). At the last follow-up, the mean diameter of the anterior capsule opening was 5.1 ± 0.2 mm, which was significantly greater than the diameter before laser capsulotomy (2.2 ± 0.8 mm). BCVA remained stable or improved in nine eyes (81.8%) following capsulotomy. No patients experienced recurrence of phimosis.ConclusionsIn a long-term study of >2 years, we found that Nd:YAG laser anterior capsulotomy is safe and effective for the treatment of anterior capsule phimosis.

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Postoperative occlusion of visual axis with fibrous membrane in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome: a case report

Cited by 6 publications

References 17 publications

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

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

A Modified Femtosecond Laser Technique for Anterior Capsule Contraction Syndrome

Long-term follow-up of neodymium:YAG laser anterior capsulotomy for the treatment of anterior capsular phimosis

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