Two cases of late postoperative capsular block syndrome.

Heo,  J Y; Ahn,  M D; Joo,  C K

doi:1999.13.2.105

Korean J Ophthalmol > Volume 13(2); 1999 > Article

Case Report

Korean Journal of Ophthalmology 1999;13(2):105-109.
DOI: https://doi.org/10.3341/kjo.1999.13.2.105 Published online December 30, 1999.

Two cases of late postoperative capsular block syndrome.

J Y Heo, M D Ahn, C K Joo

Department of Ophthalmology, College of Medicine, Catholic University of Korea, Seoul, Korea.

Abstract

Two cases of late postoperative capsular block syndrome that occurred 4 and 8.5 years, respectively, were encountered. One case underwent phacoemulsification after continuous curvilinear capsulorhexis in his left eye. The other case had a can opener type capsulorhexis and underwent extracapsular cataract extraction with trabeculectomy. One-piece posterior chamber lenses were implanted in both cases. Upon slit-lamp examination, the posterior capsules were found distorted posteriorly; the capsular openings were apparently sealed by the lens optic. A whitish material existed between the intraocular lens optic and posterior capsule, with thick aggregation in a lower fifth space in case 1. After Nd:YAG laser anterior capsulotomy in case 1, the thick aggregate spread diffusely on the posterior capsule which was sunken completely for 4 weeks. After Nd:YAG capsulotomy, the distorted posterior capsule disappeared and the best corrected visual acuity was restored to 20/20 in both cases.