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

Jin-Poi, Tan; Shatriah, Ismail; Khairy-Shamel, Sonny Teo; Zunaina, Embong

doi:10.2147/opth.s42122

Cited by 24 publications

(22 citation statements)

References 23 publications

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“…However, the occurrence of CCS with silicone, PMMA, and both hydrophilic and hydrophobic acrylic IOLs has been reported, despite the use of CTRs. 1,23,24,25,26 …”

Section: Discussionmentioning

confidence: 99%

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Altıntaş¹,

Omay²,

Çelik³

2017

tjo

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In this report, three cases with pseudoexfoliation (PEX) and advanced age with spontaneous intraocular lens (IOL) and capsule tension ring (CTR) dislocation were presented. All of our cases experienced progressive vision loss without an episode of strenuous physical activity, trauma, or any other ocular disease. Spontaneous dislocation was observed 2.5 to 8 years after uneventful phacosurgery. Each patient underwent complete IOL and CTR removal combined with anterior chamber IOL implantation. No complications were noticed during follow-up. As a result, capsule tension ring does not prevent late IOL dislocation after uncomplicated phacosurgery in the presence of PEX. Therefore, close follow-up is essential for patients with PEX.

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“…However, the occurrence of CCS with silicone, PMMA, and both hydrophilic and hydrophobic acrylic IOLs has been reported, despite the use of CTRs. 1,23,24,25,26 …”

Section: Discussionmentioning

confidence: 99%

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Altıntaş¹,

Omay²,

Çelik³

2017

tjo

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“…Capsule fibrosis is a risk factor causing IOL dislocation or decentration that can occur after phacoemulsification from 2 weeks to more than 3 months that yields mesenchymal transition and differentiation to fiber-like cells (7,8). Metaplasia and fibrosis of these cells may be exaggerated when there is an imbalance between centrifugal and centripetal forces that act on the zonules and the capsulorhexis perimeter (9) .Therefore, other factors may play a role for lens luxation in our case.…”

Section: Discussionmentioning

confidence: 82%

Late Spontaneous Dislocation of a Posterior Chamber Intraocular Lens into Anterior Chamber: A Case Report

Jadidi

Mosavi

2017

Razavi Int J Med

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Introduction: Lens luxation generally happens secondary to trauma and hereditary disorders into the vitreous body. However, spontaneous dislocation especially into the anterior chamber occurs rarely. We report an unusual case with spontaneous anterior dislocation of a posterior chamber intraocular lens (IOL) 4 years after cataract surgery. Case Presentation: A 42-year-old woman was referred to ophthalmology department with complaint of sudden onset blurring of vision in the left eye 4 years after cataract surgery. No history of trauma and systemic disorder was reported and no capsular fibrosis was found during eye examination. The patient underwent corneoscleral incision under general anesthesia and the IOL was extracted using a viscoelastic material. Conclusions: To our knowledge, this is the first reported case in the literature. This report may imply that IOL related factors could be considered for spontaneous dislocation of intraocular lenses.

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“…Advanced age, diabetes mellitus, and other rarer systemic diseases (Behcet's syndrome and myotonic muscular dystrophy) are also observed to have a higher risk of capsular contraction. In those cases described in the literature, retinitis pigmentosa seems to particularly increase the risk for a more rapid onset of capsular phimosis and fibrosis [ 1 , 2 ]. In addition, the type of IOL that is implanted appears to influence the development of anterior capsular contraction syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…This phimosis and fibrosis of the anterior capsule typically occurs over the course of months to years following phacoemulsification surgery. However, rare instances of rapid anterior capsule constriction have been documented in case reports of patients with advanced retinitis pigmentosa [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report

Lam

Sifrig

Jung

2018

Case Rep Ophthalmol

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Purpose: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. Case Report: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus. Our patient underwent 2 sessions of Nd:YAG anterior capsulotomy with limited success. Limited anterior vitrectomy was then performed without success due to densely adherent capsular tissue to the anterior surface of the IOL and additional secondary IOL dislocation. She ultimately underwent pars plana vitrectomy, removal of the capsular bag, and IOL exchange with a scleral fixated IOL. Conclusion: Rapid and severe anterior capsular contraction following cataract surgery is rare but appears to be associated with rod-cone dystrophy.

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

Cited by 24 publications

References 23 publications

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Late Spontaneous Dislocation of a Posterior Chamber Intraocular Lens into Anterior Chamber: A Case Report

Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report

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