Annals of Optometry and Contact Lens 2015;14(3):166-169.
Published online September 25, 2015.
2 Cases of Late Postoperative Capsular Block Syndrome Diagnosed with Optical Coherence Tomography
Kyeong Do Jeong, Tai Jin Kim, Jae Suk Kim, Je Hyung Hwang
Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine1, Seoul, Korea Mirae Eye Clinic2, Gwangmyeong, Korea
Received: 2 July 2015   • Revised: 10 August 2015   • Accepted: 11 August 2015
Abstract
Purpose: To report 2 cases of late postoperative capsular block syndrome after uneventful phacoemulsification and posterior chamber intraocular lens implantation diagnosed with optical coherence tomography.

Case summary: 64 and 57-year-old woman consulted with us because of blurred vision in the pseudophakic eye at four or five years after cataract surgery. On slit-lamp examination, remnant cortex, multiple cells and posterior capsule distension was found. The adherence of the capsulorhexis margin and optic of intraocular lens was confirmed with optical coherence tomography. After Nd:YAG laser posterior capsulotomy, the visual acuity of patients was improved.

Conclusion: The operator should give attention to the cortex removal during phacoemulsification to prevent capsular block syndrome. Optical coherence tomography can be helpful to diagnose capsular block syndrome.

Ann Optom Contact Lens 2015;14(3):166-169

Key Words: Lens capsule, Crystalline; Optical coherence,, Posterior capsulotomy, Tomography


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