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Year : 2019  |  Volume : 57  |  Issue : 4  |  Page : 336

Capsular contraction syndrome after cataract surgery in an eye with pseudoexfoliation


1 Department of Ophthalmology, Sankara Eye Hospital, Guntur, Andhra Pradesh, India
2 Department of Cornea and Refractive Surgery, Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Date of Submission08-Aug-2019
Date of Acceptance17-Oct-2019
Date of Web Publication26-Dec-2019

Correspondence Address:
Dr. Eswar Sakare
Department of Ophthalmology, Sankara Eye Hospital, Guntur - Vijayawada Expressway, Pedakakani, Guntur - 522 509, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_68_19

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How to cite this article:
Sakare E, Potti S, Bevara A, Devireddy N, Gaddale T. Capsular contraction syndrome after cataract surgery in an eye with pseudoexfoliation. TNOA J Ophthalmic Sci Res 2019;57:336

How to cite this URL:
Sakare E, Potti S, Bevara A, Devireddy N, Gaddale T. Capsular contraction syndrome after cataract surgery in an eye with pseudoexfoliation. TNOA J Ophthalmic Sci Res [serial online] 2019 [cited 2020 Jan 19];57:336. Available from: http://www.tnoajosr.com/text.asp?2019/57/4/336/273979



A 65-year-old patient presented with diminution of vision in the right eye for 6 months. On examination, brown cataract (nuclear sclerosis Grade 4) and pseudoexfoliation (PXF) were present. The patient underwent cataract surgery by extracapsular cataract extraction (small-incision cataract surgery) with implantation of a rigid polymethyl methacrylate intraocular lens (IOL) in the capsular bag. One month after the surgery, the patient presented with a severely contracted capsular bag with dislocation of the IOL into the sulcus [Figure 1].
Figure 1: (a) Severely contracted capsular bag (green arrow) with zonules seen inferotemporally (red arrow). Deposits of pseudoexfoliation material seen on the zonules and bag. (b) Retroillumination showing the same

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Capsular contraction with decentration and tilt of IOL and spontaneous dislocation of IOL have been reported after cataract surgery in patients with PXF.[1] This can be attributed to zonular weakness in PXF and therefore the inability to oppose the relatively increased strength of the centrally directed contractile forces generated by capsular fibrosis.[2]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his/her consent for his/her images and other clinical information to be reported in the journal. The patient understands that his/her name and initials will not be published, and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Hayashi H, Hayashi K, Nakao F, Hayashi F. Anterior capsule contraction and intraocular lens dislocation in eyes with pseudoexfoliation syndrome. Br J Ophthalmol 1998;82:1429-32.  Back to cited text no. 1
    
2.
Davison JA. Capsule contraction syndrome. J Cataract Refract Surg 1993;19:582-9.  Back to cited text no. 2
    


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