Unusual Late Presentation of Capsular Bag Distension Syndrome Associated With Propionibacterium acnes Endophthalmitis

Abstract

This report describes an unusually delayed presentation of capsular bag distension syndrome (CBDS), which was found to be associated with Propionibacterium acnes (P. acnes) endophthalmitis. Our patient presented with a gradual decrease in vision after uneventful cataract surgery done 13 years back. On examination, there was a thick turbid fluid entrapped behind the intraocular lens (IOL). Ultrasound biomicroscopy (UBM) confirmed the presumed diagnosis. The case was managed by pars plana vitrectomy (PPV) with posterior capsulotomy, and the entrapped turbid fluid was aspirated and sent for histopathology, which revealed a positive growth of P. acnes. The patient had excellent outcomes with complete resolution post-operatively.

Late-Onset Capsular Block Syndrome: A One Year Follow-up Case Report

“…5 This condition can be asymptomatic or can cause ocular hypertension, glaucoma and blurred vision especially in early onset. 6 Two mechanisms can be responsible for the visual impairment; myopic shift induced by anterior displacement of IOL due to the fluid accumulation and turbid liquid that can cause decrease in visual acuity. 7 A CBS classification depending on the time of onset has been described; intraoperative (during surgery), early postoperative (from 1 day to 2 weeks after surgery) and late postoperative (more than 3.8 years after surgery).…”