|Year : 2019 | Volume
| Issue : 4 | Page : 336
Capsular contraction syndrome after cataract surgery in an eye with pseudoexfoliation
Eswar Sakare1, Sudhakar Potti2, Akhil Bevara1, Navaneetha Devireddy1, Thejesvi Gaddale1
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 Submission||08-Aug-2019|
|Date of Acceptance||17-Oct-2019|
|Date of Web Publication||26-Dec-2019|
Dr. Eswar Sakare
Department of Ophthalmology, Sankara Eye Hospital, Guntur - Vijayawada Expressway, Pedakakani, Guntur - 522 509, Andhra Pradesh
Source of Support: None, Conflict of Interest: None
|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. 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.
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
Conflicts of interest
There are no conflicts of interest.
| References|| |
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.
Davison JA. Capsule contraction syndrome. J Cataract Refract Surg 1993;19:582-9.