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Year : 2019  |  Volume : 57  |  Issue : 1  |  Page : 71-73

Early postoperative capsular block syndrome

Department of Ophthalmology, Shri Sathya Sai Medical College and Research Institute, Ammapettai, Tamil Nadu, India

Correspondence Address:
Prof. Venkatesh Sugantharaj
Department of Ophthalmology, Shri Sathya Sai Medical College and Research Institute, Tiruporur-Guduvanchery Main Road, Ammapettai, Chengalpet Taluk, Nellikuppam, Kancheepuram - 603 108, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_8_19

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We report a case of early postoperative capsular block syndrome (CBS) in a patient who presented with moderate blurring of vision and mild periorbital pain in his first postoperative visit (the 5th postoperative day). The unaided visual acuity (VA) was 6/24 and the best-corrected VA was 6/6 with −1.0D Sph/−0.50cylx 140. The anterior chamber was shallow (anterior chamber depth: 2.6 mm), and the intraocular pressure was 24 mmHg. Slit-lamp examination revealed an “in-the-bag” intraocular lens (IOL) with a 360° anterior capsular overlap and a distended capsular bag with an optically clear space between the IOL optic and the posterior capsule. A diagnosis of early postoperative CBS was made, and the retro-optic fluid was drained by making a Nd:YAG opening on the anterior capsule inferior and peripheral to the optic. Posttreatment unaided VA improved to 6/6–2 improving further to 6/5 with −0.50 × 140. This case is presented to highlight that early postoperative CBS can easily be missed if not looked for and can account for a postoperative refractive surprise that is easily correctable.

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