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Ophthalmology
Surgical approach for management of complete anterior capsular contraction syndrome
  1. Catarina Guedes-Mota1,
  2. Marco Dutra-Medeiros1,2,3,
  3. Joana Tavares Ferreira4,5,6 and
  4. Arnaldo Dias-Santos1,3,5
  1. 1Ophthalmology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
  2. 2Instituto Português de Retina, Lisbon, Portugal
  3. 3NOVA Medical School | Faculdade de Ciências Médicas da Universidade NOVA de Lisboa, Lisbon, Portugal
  4. 4Ophthalmology, Centro Hospitalar Universitário de Lisboa Norte, Lisbon, Portugal
  5. 5Ophthalmology, Hospital CUF Descobertas, Lisbon, Portugal
  6. 6Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
  1. Correspondence to Dr Catarina Guedes-Mota; catarinadinismota{at}gmail.com

Abstract

Anterior capsular contraction syndrome is an uncommon but well-known complication associated with continuous curvilinear capsulorhexis performed during cataract surgery. It remains asymptomatic unless the constriction progresses to involve the visual axis or causes late intraocular lens-related complications. A male patient in his 50s presented with severely decreased vision in his right eye 2 years after uneventful cataract surgery. Slit-lamp biomicroscopy revealed capsular phimosis and a dense, central, fibrous plaque with total occlusion of the anterior capsulorhexis opening. Neodymium-doped yttrium aluminium garnet laser anterior capsulotomy and vitrectorhexis were attempted, but proved ineffective. Surgical excision with manual cutting of the fibrotic membrane was performed, successfully clearing the visual axis and restoring vision.

  • Ophthalmology
  • Anterior chamber
  • Pupil

https://doi.org/10.1136/bcr-2023-257851

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    Footnotes

    • Contributors CM-M and MD-M were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. All authors gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.