Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature
Identifieur interne : 000C78 ( Pmc/Curation ); précédent : 000C77; suivant : 000C79Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature
Auteurs : Angelo Balestrazzi ; Alex Malandrini ; Gianluca Martone ; Davide Marigliani ; Tomaso Caporossi ; Gian Marco TosiSource :
- Case Reports in Ophthalmology [ 1663-2699 ] ; 2014.
Abstract
Here we present 2 cases of capsule contraction syndrome (CCS). In both cases, a hydrophilic acrylic Akreos MI60 (Bausch and Lomb) intraocular lens (IOL) was implanted in the capsular bag through microincision cataract surgery, and the literature on the subject is reviewed. Since CCS has been described after the implantation of every IOL type, it is unlikely that the Akreos MI60 chemical and physical properties may cause CCS. When CCS occurs with IOLs composed of increasingly flexible materials that are inserted through incisions of decreasing size, a severe dislocation and deformation of IOL optics and haptics may develop. In both cases illustrated here, Nd:YAG laser anterior capsulotomy was highly effective. Hence, also based on the literature, which reports severe complications as a result of surgical intervention, it is suggested that Nd:YAG laser anterior capsulotomy be the first line of CCS treatment when the luxation of an IOL capsular bag is absent.
Url:
DOI: 10.1159/000368344
PubMed: 25473400
PubMed Central: 4241644
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000C78
Links to Exploration step
PMC:4241644Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature</title><author><name sortKey="Balestrazzi, Angelo" sort="Balestrazzi, Angelo" uniqKey="Balestrazzi A" first="Angelo" last="Balestrazzi">Angelo Balestrazzi</name></author><author><name sortKey="Malandrini, Alex" sort="Malandrini, Alex" uniqKey="Malandrini A" first="Alex" last="Malandrini">Alex Malandrini</name></author><author><name sortKey="Martone, Gianluca" sort="Martone, Gianluca" uniqKey="Martone G" first="Gianluca" last="Martone">Gianluca Martone</name></author><author><name sortKey="Marigliani, Davide" sort="Marigliani, Davide" uniqKey="Marigliani D" first="Davide" last="Marigliani">Davide Marigliani</name></author><author><name sortKey="Caporossi, Tomaso" sort="Caporossi, Tomaso" uniqKey="Caporossi T" first="Tomaso" last="Caporossi">Tomaso Caporossi</name></author><author><name sortKey="Tosi, Gian Marco" sort="Tosi, Gian Marco" uniqKey="Tosi G" first="Gian Marco" last="Tosi">Gian Marco Tosi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25473400</idno><idno type="pmc">4241644</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241644</idno><idno type="RBID">PMC:4241644</idno><idno type="doi">10.1159/000368344</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000C78</idno><idno type="wicri:Area/Pmc/Curation">000C78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature</title><author><name sortKey="Balestrazzi, Angelo" sort="Balestrazzi, Angelo" uniqKey="Balestrazzi A" first="Angelo" last="Balestrazzi">Angelo Balestrazzi</name></author><author><name sortKey="Malandrini, Alex" sort="Malandrini, Alex" uniqKey="Malandrini A" first="Alex" last="Malandrini">Alex Malandrini</name></author><author><name sortKey="Martone, Gianluca" sort="Martone, Gianluca" uniqKey="Martone G" first="Gianluca" last="Martone">Gianluca Martone</name></author><author><name sortKey="Marigliani, Davide" sort="Marigliani, Davide" uniqKey="Marigliani D" first="Davide" last="Marigliani">Davide Marigliani</name></author><author><name sortKey="Caporossi, Tomaso" sort="Caporossi, Tomaso" uniqKey="Caporossi T" first="Tomaso" last="Caporossi">Tomaso Caporossi</name></author><author><name sortKey="Tosi, Gian Marco" sort="Tosi, Gian Marco" uniqKey="Tosi G" first="Gian Marco" last="Tosi">Gian Marco Tosi</name></author></analytic><series><title level="j">Case Reports in Ophthalmology</title><idno type="eISSN">1663-2699</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Here we present 2 cases of capsule contraction syndrome (CCS). In both cases, a hydrophilic acrylic Akreos MI60 (Bausch and Lomb) intraocular lens (IOL) was implanted in the capsular bag through microincision cataract surgery, and the literature on the subject is reviewed. Since CCS has been described after the implantation of every IOL type, it is unlikely that the Akreos MI60 chemical and physical properties may cause CCS. When CCS occurs with IOLs composed of increasingly flexible materials that are inserted through incisions of decreasing size, a severe dislocation and deformation of IOL optics and haptics may develop. In both cases illustrated here, Nd:YAG laser anterior capsulotomy was highly effective. Hence, also based on the literature, which reports severe complications as a result of surgical intervention, it is suggested that Nd:YAG laser anterior capsulotomy be the first line of CCS treatment when the luxation of an IOL capsular bag is absent.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Davison, Ja" uniqKey="Davison J">JA Davison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Werner, L" uniqKey="Werner L">L Werner</name></author><author><name sortKey="Pandey, Sk" uniqKey="Pandey S">SK Pandey</name></author><author><name sortKey="Escobar Gomez, M" uniqKey="Escobar Gomez M">M Escobar-Gomez</name></author><author><name sortKey="Visessook, N" uniqKey="Visessook N">N Visessook</name></author><author><name sortKey="Peng, Q" uniqKey="Peng Q">Q Peng</name></author><author><name sortKey="Apple, Dj" uniqKey="Apple D">DJ Apple</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scorolli, L" uniqKey="Scorolli L">L Scorolli</name></author><author><name sortKey="Martini, E" uniqKey="Martini E">E Martini</name></author><author><name sortKey="Scalinci, Sz" uniqKey="Scalinci S">SZ Scalinci</name></author><author><name sortKey="Scorolli, Lg" uniqKey="Scorolli L">LG Scorolli</name></author><author><name sortKey="Meduri, R" uniqKey="Meduri R">R Meduri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayashi, K" uniqKey="Hayashi K">K Hayashi</name></author><author><name sortKey="Hayashi, H" uniqKey="Hayashi H">H Hayashi</name></author><author><name sortKey="Matsuo, K" uniqKey="Matsuo K">K Matsuo</name></author><author><name sortKey="Nakao, F" uniqKey="Nakao F">F Nakao</name></author><author><name sortKey="Hayashi, F" uniqKey="Hayashi F">F Hayashi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spang, Km" uniqKey="Spang K">KM Spang</name></author><author><name sortKey="Rohrbach, Jm" uniqKey="Rohrbach J">JM Rohrbach</name></author><author><name sortKey="Weidle, Eg" uniqKey="Weidle E">EG Weidle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chawla, Js" uniqKey="Chawla J">JS Chawla</name></author><author><name sortKey="Shaikh, Mh" uniqKey="Shaikh M">MH Shaikh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lanzl, Im" uniqKey="Lanzl I">IM Lanzl</name></author><author><name sortKey="Kopp, C" uniqKey="Kopp C">C Kopp</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Salzmann, J" uniqKey="Salzmann J">J Salzmann</name></author><author><name sortKey="Khaw, Pt" uniqKey="Khaw P">PT Khaw</name></author><author><name sortKey="Laidlaw, A" uniqKey="Laidlaw A">A Laidlaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sudhir, Rr" uniqKey="Sudhir R">RR Sudhir</name></author><author><name sortKey="Rao, Sk" uniqKey="Rao S">SK Rao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Srinivasan, S" uniqKey="Srinivasan S">S Srinivasan</name></author><author><name sortKey="Van Der Hoek, J" uniqKey="Van Der Hoek J">J van der Hoek</name></author><author><name sortKey="Green, F" uniqKey="Green F">F Green</name></author><author><name sortKey="Atta, Hr" uniqKey="Atta H">HR Atta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moreno Monta Es, J" uniqKey="Moreno Monta Es J">J Moreno-Montañés</name></author><author><name sortKey="Sanchez Tocino, H" uniqKey="Sanchez Tocino H">H Sánchez-Tocino</name></author><author><name sortKey="Rodriguez Conde, R" uniqKey="Rodriguez Conde R">R Rodriguez-Conde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ueno, S" uniqKey="Ueno S">S Ueno</name></author><author><name sortKey="Kimura, A" uniqKey="Kimura A">A Kimura</name></author><author><name sortKey="Hirata, A" uniqKey="Hirata A">A Hirata</name></author><author><name sortKey="Tanihara, H" uniqKey="Tanihara H">H Tanihara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Musa, F" uniqKey="Musa F">F Musa</name></author><author><name sortKey="Aralikatti, Ak" uniqKey="Aralikatti A">AK Aralikatti</name></author><author><name sortKey="Prasad, S" uniqKey="Prasad S">S Prasad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanders, Dr" uniqKey="Sanders D">DR Sanders</name></author><author><name sortKey="Higginbotham, Rw" uniqKey="Higginbotham R">RW Higginbotham</name></author><author><name sortKey="Opatowsky, Ie" uniqKey="Opatowsky I">IE Opatowsky</name></author><author><name sortKey="Confino, J" uniqKey="Confino J">J Confino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Prakash, P" uniqKey="Prakash P">P Prakash</name></author><author><name sortKey="Kasaby, He" uniqKey="Kasaby H">HE Kasaby</name></author><author><name sortKey="Aggarwal, Rk" uniqKey="Aggarwal R">RK Aggarwal</name></author><author><name sortKey="Humfrey, S" uniqKey="Humfrey S">S Humfrey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ozturk, F" uniqKey="Ozturk F">F Ozturk</name></author><author><name sortKey="Snyder, Me" uniqKey="Snyder M">ME Snyder</name></author><author><name sortKey="Osher, Rh" uniqKey="Osher R">RH Osher</name></author><author><name sortKey="Bishop, Jr" uniqKey="Bishop J">JR Bishop</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Venkatesh, R" uniqKey="Venkatesh R">R Venkatesh</name></author><author><name sortKey="Tan, Cs" uniqKey="Tan C">CS Tan</name></author><author><name sortKey="Veena, K" uniqKey="Veena K">K Veena</name></author><author><name sortKey="Ravindran, Rd" uniqKey="Ravindran R">RD Ravindran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cavallini, Gm" uniqKey="Cavallini G">GM Cavallini</name></author><author><name sortKey="Masini, C" uniqKey="Masini C">C Masini</name></author><author><name sortKey="Campi, L" uniqKey="Campi L">L Campi</name></author><author><name sortKey="Pelloni, S" uniqKey="Pelloni S">S Pelloni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dubois, Vdjp" uniqKey="Dubois V">VDJP Dubois</name></author><author><name sortKey="Ainsworth, G" uniqKey="Ainsworth G">G Ainsworth</name></author><author><name sortKey="Liu, Csc" uniqKey="Liu C">CSC Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caravella, Lp" uniqKey="Caravella L">LP Caravella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Qatarneh, D" uniqKey="Qatarneh D">D Qatarneh</name></author><author><name sortKey="Hau, S" uniqKey="Hau S">S Hau</name></author><author><name sortKey="Tuft, S" uniqKey="Tuft S">S Tuft</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Michael, K" uniqKey="Michael K">K Michael</name></author><author><name sortKey="O Colmain, U" uniqKey="O Colmain U">U O'Colmain</name></author><author><name sortKey="Vallance, Jh" uniqKey="Vallance J">JH Vallance</name></author><author><name sortKey="Cormack, Tgm" uniqKey="Cormack T">TGM Cormack</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zaugg, B" uniqKey="Zaugg B">B Zaugg</name></author><author><name sortKey="Werner, L" uniqKey="Werner L">L Werner</name></author><author><name sortKey="Neuhann, T" uniqKey="Neuhann T">T Neuhann</name></author><author><name sortKey="Burrow, M" uniqKey="Burrow M">M Burrow</name></author><author><name sortKey="Davis, D" uniqKey="Davis D">D Davis</name></author><author><name sortKey="Mamalis, N" uniqKey="Mamalis N">N Mamalis</name></author><author><name sortKey="Tetz, M" uniqKey="Tetz M">M Tetz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Can, I" uniqKey="Can I">I Can</name></author><author><name sortKey="Takmaz, T" uniqKey="Takmaz T">T Takmaz</name></author><author><name sortKey="Yildiz, Y" uniqKey="Yildiz Y">Y Yildiz</name></author><author><name sortKey="Ali Bayhan, H" uniqKey="Ali Bayhan H">H Ali Bayhan</name></author><author><name sortKey="Soyugelen, G" uniqKey="Soyugelen G">G Soyugelen</name></author><author><name sortKey="Bostanci, B" uniqKey="Bostanci B">B Bostanci</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">COP</journal-id><journal-title-group><journal-title>Case Reports in Ophthalmology</journal-title></journal-title-group><issn pub-type="epub">1663-2699</issn><publisher><publisher-name>S. Karger AG</publisher-name><publisher-loc>Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25473400</article-id><article-id pub-id-type="pmc">4241644</article-id><article-id pub-id-type="doi">10.1159/000368344</article-id><article-id pub-id-type="publisher-id">cop-0005-0329</article-id><article-categories><subj-group subj-group-type="heading"><subject>Published online: October, 2014</subject></subj-group></article-categories><title-group><article-title>Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Balestrazzi</surname><given-names>Angelo</given-names></name></contrib><contrib contrib-type="author"><name><surname>Malandrini</surname><given-names>Alex</given-names></name></contrib><contrib contrib-type="author"><name><surname>Martone</surname><given-names>Gianluca</given-names></name></contrib><contrib contrib-type="author"><name><surname>Marigliani</surname><given-names>Davide</given-names></name></contrib><contrib contrib-type="author"><name><surname>Caporossi</surname><given-names>Tomaso</given-names></name></contrib><contrib contrib-type="author"><name><surname>Tosi</surname><given-names>Gian Marco</given-names></name><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff>Department of Ophthalmology, University of Siena, Siena, Italy</aff><author-notes><corresp id="cor1">*Gian Marco Tosi, Department of Ophthalmology, University of Siena, Viale Bracci 1, IT-53100 Siena (Italy), E-Mail <email>gmtosi@tin.it</email></corresp></author-notes><pub-date pub-type="collection"><season>Sep-Dec</season><year>2014</year></pub-date><pub-date pub-type="epub"><day>16</day><month>10</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>16</day><month>10</month><year>2014</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>5</volume><issue>3</issue><fpage>329</fpage><lpage>335</lpage><permissions><copyright-statement>Copyright © 2014 by S. Karger AG, Basel</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.</license-p></license></permissions><abstract><p>Here we present 2 cases of capsule contraction syndrome (CCS). In both cases, a hydrophilic acrylic Akreos MI60 (Bausch and Lomb) intraocular lens (IOL) was implanted in the capsular bag through microincision cataract surgery, and the literature on the subject is reviewed. Since CCS has been described after the implantation of every IOL type, it is unlikely that the Akreos MI60 chemical and physical properties may cause CCS. When CCS occurs with IOLs composed of increasingly flexible materials that are inserted through incisions of decreasing size, a severe dislocation and deformation of IOL optics and haptics may develop. In both cases illustrated here, Nd:YAG laser anterior capsulotomy was highly effective. Hence, also based on the literature, which reports severe complications as a result of surgical intervention, it is suggested that Nd:YAG laser anterior capsulotomy be the first line of CCS treatment when the luxation of an IOL capsular bag is absent.</p></abstract><kwd-group><title>Key words</title><kwd>Cataract surgery</kwd><kwd>Capsulorhexis</kwd><kwd>Capsule contraction syndrome</kwd></kwd-group><counts><fig-count count="1"></fig-count><table-count count="1"></table-count><ref-count count="24"></ref-count><page-count count="7"></page-count></counts></article-meta></front><body><sec sec-type="intro" id="sec1_1"><title>Introduction</title><p>The goal of modern cataract surgery is the rapid restoration of vision, which explains the tendency towards microincision phacoemulsification. However, serious postoperative complications may occur. Capsule contraction syndrome (CCS) is a well-recognized postoperative complication of cataract surgery, which has been mainly observed in conditions of zonular weakness and chronic intraocular inflammation [<xref rid="B1" ref-type="bibr">1</xref>, <xref rid="B2" ref-type="bibr">2</xref>]. The material and design of intraocular lenses (IOLs) have been hypothesized to play a role in anterior capsule opacification, the milder form of the disease [<xref rid="B2" ref-type="bibr">2</xref>]. However, CCS has been reported to occur with different types of IOLs, including polymethylmethacrylate, silicone and acrylic [<xref rid="B2" ref-type="bibr">2</xref>, <xref rid="B3" ref-type="bibr">3</xref>, <xref rid="B4" ref-type="bibr">4</xref>, <xref rid="B5" ref-type="bibr">5</xref>, <xref rid="B6" ref-type="bibr">6</xref>, <xref rid="B7" ref-type="bibr">7</xref>, <xref rid="B8" ref-type="bibr">8</xref>, <xref rid="B9" ref-type="bibr">9</xref>, <xref rid="B10" ref-type="bibr">10</xref>, <xref rid="B11" ref-type="bibr">11</xref>, <xref rid="B12" ref-type="bibr">12</xref>, <xref rid="B13" ref-type="bibr">13</xref>, <xref rid="B14" ref-type="bibr">14</xref>, <xref rid="B15" ref-type="bibr">15</xref>, <xref rid="B16" ref-type="bibr">16</xref>, <xref rid="B17" ref-type="bibr">17</xref>, <xref rid="B18" ref-type="bibr">18</xref>, <xref rid="B19" ref-type="bibr">19</xref>, <xref rid="B20" ref-type="bibr">20</xref>, <xref rid="B21" ref-type="bibr">21</xref>, <xref rid="B22" ref-type="bibr">22</xref>, <xref rid="B23" ref-type="bibr">23</xref>, <xref rid="B24" ref-type="bibr">24</xref>]. Herein, we illustrate 2 cases of CCS following microincision cataract surgery without any associated ocular or systemic disease and we also review the literature on the subject (table <xref ref-type="table" rid="T1">1</xref>).</p></sec><sec id="sec1_2"><title>Case Reports</title><sec id="sec2_1"><title>Case 1</title><p>A 72-year-old female was referred to our center due to visual acuity reduction in her left eye (LE). Her general medical history was unremarkable. Her ocular history was positive for cataract surgery involving microincision phacoemulsification and an in-the-bag implantation of an Akreos MI60 (Bausch and Lomb) IOL in her LE 4 months previously. She did not report having had any ocular pathologies in the past. It was not possible to review her old records. Best-corrected visual acuity (BCVA) was 20/60 in her right eye (RE) and 20/100 in her LE. Dilated slit-lamp examination revealed a corticonuclear cataract in her RE, while her LE showed phimosis and a complete occlusion of the capsulorhexis incision by anterior capsule shrinkage, together with folding of the haptics as well as tilting and decentration of the IOL (fig. <xref ref-type="fig" rid="F1">1a, b</xref>). Her intraocular pressure was within normal limits in both eyes. A fundus examination showed normal results in both eyes, although CCS impaired her vision in the LE. No signs of past or current ocular inflammation or pseudoexfoliation were observed. Ultrabiomicroscopy analysis revealed a partial ciliary body detachment (fig. <xref ref-type="fig" rid="F1">1e, f</xref>). In her LE, a neodymium: YAG (Nd:YAG) laser was used to create a radial opening in the capsular phimosis, then to perform a circular enlargement and resolve the capsular synechiae of the haptics (fig. <xref ref-type="fig" rid="F1">1c, d</xref>). One week after Nd:YAG treatment, the visual acuity in her LE was 20/20 and the ciliary body detachment had been resolved (fig. <xref ref-type="fig" rid="F1">1g, h</xref>). Three months later, phacoemulsification and an in-the-bag implantation of an AcrySof SA60AT (Alcon) hydrophobic acrylic IOL was performed in her RE. Six months later, her BCVA was 20/20 in both eyes, without any CCS in her RE.</p></sec><sec id="sec2_2"><title>Case 2</title><p>A 68-year-old female was referred to our center because of a visual acuity reduction in her LE. Her general medical history was unremarkable, while her ocular history was positive for cataract surgery involving microincision phacoemulsification and an in-the-bag implantation of an Akreos MI60 (Bausch and Lomb) IOL in her LE 3 months previously. She did not report having had any ocular pathologies in her past. It was not possible to review her old records. BCVA was 20/60 in her RE and 20/30 in her LE. Her LE showed a hypermetropic refraction of +2 +0.50 ×175. The patient reported that her LE visual acuity had been excellent, without spectacle correction, for the first 1.5 months after surgery. Dilated slit-lamp examination revealed a corticonuclear cataract in her RE and phimosis of the anterior capsule with capsulorhexis reduced to 2 mm in her LE, together with anterior folding of the haptics and a posterior dislocation of the IOL optic. Her intraocular pressure was within normal limits in both eyes. A fundus examination showed normal results in both eyes, although CCS impaired her vision in the LE. No signs of past or current ocular inflammation or pseudoexfoliation were observed. In her LE, an Nd:YAG laser was used to create a radial opening in the capsular phimosis, then to perform a circular enlargement and resolve the capsular synechiae of the haptics (fig. <xref ref-type="fig" rid="F1">1i</xref>). One week after Nd:YAG treatment, the visual acuity in her LE was 20/20 without correction. Three months later, phacoemulsification and an in-the-bag implantation of an AcrySof SA60AT (Alcon) hydrophobic acrylic IOL was performed in her RE. Six months later, BCVA was 20/20 in both eyes, without any CCS in her RE.</p></sec></sec><sec sec-type="discussion" id="sec1_3"><title>Discussion</title><p>While most patients who have cataract surgery with posterior-chamber IOL placement have excellent long-term results, IOL-related complications may occur even when the IOL is placed in the capsular bag. CCS is a postoperative complication occurring after in-the-bag IOL placement. The degree of anterior capsule contraction is believed to be related to many predictors, including the state of the patients’ lens capsules and zonules, concurrent ocular pathology, and surgical complications [<xref rid="B1" ref-type="bibr">1</xref>, <xref rid="B2" ref-type="bibr">2</xref>].</p><p>We reported 2 patients with CCS after microincision cataract surgery hydrophilic acrylic Akreos MI60 IOLs were implanted in the capsular bag, without any associated ocular or systemic diseases. Both patients developed CCS, which caused ciliary body detachment in the first patient (as reported by Lanzl [<xref rid="B7" ref-type="bibr">7</xref>], Salzman et al. [<xref rid="B8" ref-type="bibr">8</xref>], and Srinivasan et al. [<xref rid="B10" ref-type="bibr">10</xref>]) and posterior dislocation of the IOL optic in the latter (as reported by Sanders et al. [<xref rid="B14" ref-type="bibr">14</xref>], Ozturk et al. [<xref rid="B16" ref-type="bibr">16</xref>], Qatarneh et al. [<xref rid="B21" ref-type="bibr">21</xref>], and Zaugg et al. [<xref rid="B23" ref-type="bibr">23</xref>]) (table <xref ref-type="table" rid="T1">1</xref>). Notwithstanding the fact that no ocular risk factors were apparently present (since surgery had been performed elsewhere), we cannot exclude a weakness of the zonular apparatus, even in the absence of pseudoexfoliation or a small capsulorhexis as intraoperative causative factors of CCS.</p><p>We do not believe that Akreos MI60 chemical properties or its plate-haptic design played a role in causing CCS. In a series of 135 eyes, Can et al. [<xref rid="B24" ref-type="bibr">24</xref>] compared standard coaxial, microcoaxial and biaxial microincision cataract surgery in 2010, implanting 20 Akreos MI60 IOLs without reporting any cases of CCS at the respective 3-month follow-ups.</p><p>Notwithstanding the fact that the composition and design of IOLs might also influence the degree of anterior capsule contraction, CCS has been reported to occur with different types of IOLs including PMMA, silicone and acrylic, both hydrophobic and hydrophilic [<xref rid="B2" ref-type="bibr">2</xref>, <xref rid="B3" ref-type="bibr">3</xref>, <xref rid="B4" ref-type="bibr">4</xref>, <xref rid="B5" ref-type="bibr">5</xref>, <xref rid="B6" ref-type="bibr">6</xref>, <xref rid="B7" ref-type="bibr">7</xref>, <xref rid="B8" ref-type="bibr">8</xref>, <xref rid="B9" ref-type="bibr">9</xref>, <xref rid="B10" ref-type="bibr">10</xref>, <xref rid="B11" ref-type="bibr">11</xref>, <xref rid="B12" ref-type="bibr">12</xref>, <xref rid="B13" ref-type="bibr">13</xref>, <xref rid="B14" ref-type="bibr">14</xref>, <xref rid="B15" ref-type="bibr">15</xref>, <xref rid="B16" ref-type="bibr">16</xref>, <xref rid="B17" ref-type="bibr">17</xref>, <xref rid="B18" ref-type="bibr">18</xref>, <xref rid="B19" ref-type="bibr">19</xref>, <xref rid="B20" ref-type="bibr">20</xref>, <xref rid="B21" ref-type="bibr">21</xref>, <xref rid="B22" ref-type="bibr">22</xref>, <xref rid="B23" ref-type="bibr">23</xref>, <xref rid="B24" ref-type="bibr">24</xref>].</p><p>The literature data shows that CCS has occurred in eyes with and without risk factors after the implantation of every IOL type (PMMA, silicone and acrylic); however, looking at the most recent reports, CCS has mainly developed after hydrophilic acrylic IOL implantation (in 1 case after implanting Akreos MI60 [<xref rid="B18" ref-type="bibr">18</xref>], in 1 case after Raysoft 574 R, Rayner Intraocular lenses, Ltd. [<xref rid="B23" ref-type="bibr">23</xref>], in 1 case after Bioacryl, Biotech [<xref rid="B23" ref-type="bibr">23</xref>], in 5 cases after Quatrix IOL, Croma Pharma GmbH [<xref rid="B22" ref-type="bibr">22</xref>], and in 6 cases after implanting an Akreos IOL lens [<xref rid="B19" ref-type="bibr">19</xref>, <xref rid="B20" ref-type="bibr">20</xref>, <xref rid="B21" ref-type="bibr">21</xref>]) (table <xref ref-type="table" rid="T1">1</xref>).</p><p>Nd:YAG laser anterior capsulotomy was effective in clearing the visual axis in both our patients and in resolving the ciliary body detachment in the first patient and the refractive error induced by the posterior dislocation of the IOL optic in the second. In the past, numerous successes with Nd:YAG laser anterior capsulotomy have been reported without any associated complications (table <xref ref-type="table" rid="T1">1</xref>). We believe that the first treatment should always be performed with Nd:YAG laser anterior capsulotomy, unless an evident luxation of the complex IOL capsular bag is present. In fact, as reported by Ozturk et al. [<xref rid="B16" ref-type="bibr">16</xref>] and by Michael et al. [<xref rid="B22" ref-type="bibr">22</xref>], surgical treatment may lead to severe complications, notwithstanding a well-conducted original phacoemulsification, which is mainly the result of the capsular bag removal. In these cases, the authors [<xref rid="B16" ref-type="bibr">16</xref>, <xref rid="B22" ref-type="bibr">22</xref>] did not report any previous attempts of treatment with Nd:YAG laser anterior capsulotomy (table <xref ref-type="table" rid="T1">1</xref>).</p><p>As the interest in microincision cataract surgery continues to grow, there is a tendency to find increasingly flexible materials to insert or inject through smaller incisions [<xref rid="B16" ref-type="bibr">16</xref>]. However, as stressed by Zaugg et al. [<xref rid="B23" ref-type="bibr">23</xref>], Qatarneh et al. [<xref rid="B21" ref-type="bibr">21</xref>] and by Caravella [<xref rid="B20" ref-type="bibr">20</xref>], we believe that, when CCS occurs with IOLs such as the Akreos MI60, which has to be particularly soft to enter the eye through a microincision, it easily causes compression stretching of the IOL, resulting in a significant dislocation and deformation of both the optics and the haptics.</p></sec><sec id="sec1_4"><title>Disclosure Statement</title><p>The authors declare no conflict of interest.</p></sec></body><back><ref-list><title>References</title><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Davison</surname><given-names>JA</given-names></name></person-group><article-title>Capsule contraction syndrome</article-title><source>J Cataract Refract Surg</source><year>1993</year><volume>19</volume><fpage>582</fpage><lpage>589</lpage><pub-id pub-id-type="pmid">8229711</pub-id></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Werner</surname><given-names>L</given-names></name><name><surname>Pandey</surname><given-names>SK</given-names></name><name><surname>Escobar-Gomez</surname><given-names>M</given-names></name><name><surname>Visessook</surname><given-names>N</given-names></name><name><surname>Peng</surname><given-names>Q</given-names></name><name><surname>Apple</surname><given-names>DJ</given-names></name></person-group><article-title>Anterior capsule opacification; a histopathological study comparing different IOL styles</article-title><source>Ophthalmology</source><year>2000</year><volume>107</volume><fpage>463</fpage><lpage>471</lpage><pub-id pub-id-type="pmid">10711882</pub-id></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Scorolli</surname><given-names>L</given-names></name><name><surname>Martini</surname><given-names>E</given-names></name><name><surname>Scalinci</surname><given-names>SZ</given-names></name><name><surname>Scorolli</surname><given-names>LG</given-names></name><name><surname>Meduri</surname><given-names>R</given-names></name></person-group><article-title>Capsule contraction after continuous curvilinear capsulorhexis</article-title><source>J Cataract Refract Surg</source><year>1996</year><volume>22</volume><fpage>1245</fpage><lpage>1246</lpage><pub-id pub-id-type="pmid">8972379</pub-id></element-citation></ref><ref id="B4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hayashi</surname><given-names>K</given-names></name><name><surname>Hayashi</surname><given-names>H</given-names></name><name><surname>Matsuo</surname><given-names>K</given-names></name><name><surname>Nakao</surname><given-names>F</given-names></name><name><surname>Hayashi</surname><given-names>F</given-names></name></person-group><article-title>Anterior capsule contraction and intraocular lens dislocation after implant surgery in eyes with retinitis pigmentosa</article-title><source>Ophthalmology</source><year>1998</year><volume>105</volume><fpage>1239</fpage><lpage>1243</lpage><pub-id pub-id-type="pmid">9663228</pub-id></element-citation></ref><ref id="B5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Spang</surname><given-names>KM</given-names></name><name><surname>Rohrbach</surname><given-names>JM</given-names></name><name><surname>Weidle</surname><given-names>EG</given-names></name></person-group><article-title>Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation</article-title><source>Am J Ophthalmol</source><year>1999</year><volume>127</volume><fpage>343</fpage><lpage>345</lpage><pub-id pub-id-type="pmid">10088748</pub-id></element-citation></ref><ref id="B6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chawla</surname><given-names>JS</given-names></name><name><surname>Shaikh</surname><given-names>MH</given-names></name></person-group><article-title>Neodymium: Neodymium: YAG laser parabolic anterior capsulotomy in extreme capsule contraction syndrome</article-title><source>J Cataract Refract Surg</source><year>1999</year><volume>25</volume><fpage>1415</fpage><lpage>1417</lpage><pub-id pub-id-type="pmid">10511947</pub-id></element-citation></ref><ref id="B7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lanzl</surname><given-names>IM</given-names></name><name><surname>Kopp</surname><given-names>C</given-names></name></person-group><article-title>Ciliary body detachment caused by capsule contraction</article-title><source>J Cataract Refract Surg</source><year>1999</year><volume>25</volume><fpage>1412</fpage><lpage>1414</lpage><pub-id pub-id-type="pmid">10511946</pub-id></element-citation></ref><ref id="B8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Salzmann</surname><given-names>J</given-names></name><name><surname>Khaw</surname><given-names>PT</given-names></name><name><surname>Laidlaw</surname><given-names>A</given-names></name></person-group><article-title>Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery</article-title><source>Am J Ophthalmol</source><year>2000</year><volume>129</volume><fpage>253</fpage><lpage>254</lpage><pub-id pub-id-type="pmid">10682983</pub-id></element-citation></ref><ref id="B9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sudhir</surname><given-names>RR</given-names></name><name><surname>Rao</surname><given-names>SK</given-names></name></person-group><article-title>Capsulorhexis phimosis in retinitis pigmentosa despite capsular tension ring implantation</article-title><source>J Cataract Refract Surg</source><year>2001</year><volume>27</volume><fpage>1691</fpage><lpage>1694</lpage><pub-id pub-id-type="pmid">11687372</pub-id></element-citation></ref><ref id="B10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Srinivasan</surname><given-names>S</given-names></name><name><surname>van der Hoek</surname><given-names>J</given-names></name><name><surname>Green</surname><given-names>F</given-names></name><name><surname>Atta</surname><given-names>HR</given-names></name></person-group><article-title>Tractional ciliary body detachment, choroidal effusion, and hypotony caused by severe anterior lens capsule contraction following cataract surgery</article-title><source>Br J Ophthalmol</source><year>2001</year><volume>85</volume><fpage>1261</fpage><lpage>1262</lpage><pub-id pub-id-type="pmid">11596578</pub-id></element-citation></ref><ref id="B11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moreno-Montañés</surname><given-names>J</given-names></name><name><surname>Sánchez-Tocino</surname><given-names>H</given-names></name><name><surname>Rodriguez-Conde</surname><given-names>R</given-names></name></person-group><article-title>Complete anterior capsule contraction after phacoemulsification with acrylic intraocular lens and endocapsular ring implantation</article-title><source>J Cataract Refract Surg</source><year>2002</year><volume>28</volume><fpage>717</fpage><lpage>719</lpage><pub-id pub-id-type="pmid">11955919</pub-id></element-citation></ref><ref id="B12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ueno</surname><given-names>S</given-names></name><name><surname>Kimura</surname><given-names>A</given-names></name><name><surname>Hirata</surname><given-names>A</given-names></name><name><surname>Tanihara</surname><given-names>H</given-names></name></person-group><article-title>Surgical treatment of complete anterior capsule contraction after cataract surgery</article-title><source>Acta Ophthalmol Scand</source><year>2004</year><volume>82</volume><fpage>461</fpage><lpage>462</lpage><pub-id pub-id-type="pmid">15291942</pub-id></element-citation></ref><ref id="B13"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Musa</surname><given-names>F</given-names></name><name><surname>Aralikatti</surname><given-names>AK</given-names></name><name><surname>Prasad</surname><given-names>S</given-names></name></person-group><article-title>Choroidal effusion and hypotony caused by severe anterior lens capsule contraction following cataract surgery</article-title><source>Eur J Ophthalmol</source><year>2004</year><volume>14</volume><fpage>153</fpage><lpage>155</lpage><pub-id pub-id-type="pmid">15134114</pub-id></element-citation></ref><ref id="B14"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sanders</surname><given-names>DR</given-names></name><name><surname>Higginbotham</surname><given-names>RW</given-names></name><name><surname>Opatowsky</surname><given-names>IE</given-names></name><name><surname>Confino</surname><given-names>J</given-names></name></person-group><article-title>Hyperopic shift in refraction associated with implantation of the single-piece Collamer intraocular lens</article-title><source>J Cataract Refract Surg</source><year>2006</year><volume>32</volume><fpage>2110</fpage><lpage>2112</lpage><pub-id pub-id-type="pmid">17137992</pub-id></element-citation></ref><ref id="B15"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Prakash</surname><given-names>P</given-names></name><name><surname>Kasaby</surname><given-names>HE</given-names></name><name><surname>Aggarwal</surname><given-names>RK</given-names></name><name><surname>Humfrey</surname><given-names>S</given-names></name></person-group><article-title>Microincision bimanual phacoemulsification and Thinoptx implantation through a 170 mm incision</article-title><source>Eye (Lond)</source><year>2007</year><volume>21</volume><fpage>177</fpage><lpage>182</lpage><pub-id pub-id-type="pmid">16710439</pub-id></element-citation></ref><ref id="B16"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ozturk</surname><given-names>F</given-names></name><name><surname>Snyder</surname><given-names>ME</given-names></name><name><surname>Osher</surname><given-names>RH</given-names></name><name><surname>Bishop</surname><given-names>JR</given-names><suffix>3rd</suffix></name></person-group><article-title>Hyperopic shift with posterior bowing of a Collamer posterior chamber intraocular lens</article-title><source>J Cataract Refract Surg</source><year>2007</year><volume>33</volume><fpage>159</fpage><lpage>161</lpage><pub-id pub-id-type="pmid">17189816</pub-id></element-citation></ref><ref id="B17"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Venkatesh</surname><given-names>R</given-names></name><name><surname>Tan</surname><given-names>CS</given-names></name><name><surname>Veena</surname><given-names>K</given-names></name><name><surname>Ravindran</surname><given-names>RD</given-names></name></person-group><article-title>Severe anterior capsular phimosis following acrylic intraocular lens implantation in a patient with pseudoexfoliation</article-title><source>Ophthalmic Surg Lasers Imaging</source><year>2008</year><volume>39</volume><fpage>228</fpage><lpage>229</lpage><pub-id pub-id-type="pmid">18556946</pub-id></element-citation></ref><ref id="B18"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cavallini</surname><given-names>GM</given-names></name><name><surname>Masini</surname><given-names>C</given-names></name><name><surname>Campi</surname><given-names>L</given-names></name><name><surname>Pelloni</surname><given-names>S</given-names></name></person-group><article-title>Capsulorhexis phimosis after bimanual microphacoemulsification and in-the-bag implantation of the Akreos MI60 intraocular lens</article-title><source>J Cataract Refract Surg</source><year>2008</year><volume>34</volume><fpage>1598</fpage><lpage>1600</lpage><pub-id pub-id-type="pmid">18721727</pub-id></element-citation></ref><ref id="B19"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dubois</surname><given-names>VDJP</given-names></name><name><surname>Ainsworth</surname><given-names>G</given-names></name><name><surname>Liu</surname><given-names>CSC</given-names></name></person-group><article-title>Unilateral capsular phimosis with an acrylic IOL and two capsular tension rings in pseudoexfoliation</article-title><source>Clin Experiment Ophthalmol</source><year>2009</year><volume>37</volume><fpage>631</fpage><lpage>633</lpage><pub-id pub-id-type="pmid">19702720</pub-id></element-citation></ref><ref id="B20"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caravella</surname><given-names>LP</given-names></name></person-group><article-title>Laser treatment alternative to IOL exchange for capsulorhexis phimosis with anterior flexing of single-piece hydrophilic acrylic IOL haptics</article-title><source>J Cataract Refract Surg</source><year>2010</year><volume>36</volume><fpage>2222</fpage><lpage>2223</lpage><pub-id pub-id-type="pmid">21111343</pub-id></element-citation></ref><ref id="B21"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qatarneh</surname><given-names>D</given-names></name><name><surname>Hau</surname><given-names>S</given-names></name><name><surname>Tuft</surname><given-names>S</given-names></name></person-group><article-title>Hyperopic shift from posterior migration of hydrophilic acrylic intraocular lens optic</article-title><source>J Cataract Refract Surg</source><year>2010</year><volume>36</volume><fpage>161</fpage><lpage>163</lpage><pub-id pub-id-type="pmid">20117719</pub-id></element-citation></ref><ref id="B22"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Michael</surname><given-names>K</given-names></name><name><surname>O'Colmain</surname><given-names>U</given-names></name><name><surname>Vallance</surname><given-names>JH</given-names></name><name><surname>Cormack</surname><given-names>TGM</given-names></name></person-group><article-title>Capsule contraction syndrome with haptic deformation and flexion</article-title><source>J Cataract Refract Surg</source><year>2010</year><volume>36</volume><fpage>686</fpage><lpage>689</lpage><pub-id pub-id-type="pmid">20362866</pub-id></element-citation></ref><ref id="B23"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zaugg</surname><given-names>B</given-names></name><name><surname>Werner</surname><given-names>L</given-names></name><name><surname>Neuhann</surname><given-names>T</given-names></name><name><surname>Burrow</surname><given-names>M</given-names></name><name><surname>Davis</surname><given-names>D</given-names></name><name><surname>Mamalis</surname><given-names>N</given-names></name><name><surname>Tetz</surname><given-names>M</given-names></name></person-group><article-title>Clinicopathologic correlation of capuslorhexis phimosis with anterior flexing of single-piece hydrophilic acrylic intraocular lens haptics</article-title><source>J Cataract Refract Surg</source><year>2010</year><volume>36</volume><fpage>1605</fpage><lpage>1609</lpage><pub-id pub-id-type="pmid">20692577</pub-id></element-citation></ref><ref id="B24"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Can</surname><given-names>I</given-names></name><name><surname>Takmaz</surname><given-names>T</given-names></name><name><surname>Yildiz</surname><given-names>Y</given-names></name><name><surname>Ali Bayhan</surname><given-names>H</given-names></name><name><surname>Soyugelen</surname><given-names>G</given-names></name><name><surname>Bostanci</surname><given-names>B</given-names></name></person-group><article-title>Coaxial, microcoaxial, and biaxial microincision cataract surgery: prospective comparative study</article-title><source>J Cataract Refract Surg</source><year>2010</year><volume>36</volume><fpage>740</fpage><lpage>746</lpage><pub-id pub-id-type="pmid">20457364</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><p><bold>a</bold>, <bold>b</bold> CCS syndrome with severe IOL deformation and dislocation. <bold>c</bold>, <bold>d</bold> Anterior segment after Nd:YAG laser treatment of the phimosis. <bold>e</bold> Preoperative ultrabiomicroscopy analysis showing a partial ciliary body detachment (black arrow) and stretched and thickened zonular fibers (white cross). <bold>f</bold> Preoperative ultrabiomicroscopy showing a capsulorhexis phimosis as a highly reflective line in the pupillary space (white arrow) and a subcapsular fibrosis as not homogeneous echoes inside the capsular bag (white star). <bold>g</bold> Ultrabiomicroscopy analysis after Nd:YAG laser treatment of the phimosis showing a resolution of the ciliary body detachment and of the zonular traction. <bold>h</bold> Ultrabiomicroscopy analysis after Nd:YAG laser treatment of the phimosis showing the disappearance of the high reflective line together with a deepening of the posterior chamber (white arrow). <bold>i</bold> Anterior segment after Nd:YAG laser treatment of the phimosis.</p></caption><graphic xlink:href="cop-0005-0329-g01"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>CCS after cataract surgery</p></caption><table frame="hsides" rules="groups"><thead><tr valign="top"><th align="left" rowspan="1" colspan="1">Study</th><th align="left" rowspan="1" colspan="1">IOL type</th><th align="left" rowspan="1" colspan="1">Eyes implanted Eyes with this IOL type, n</th><th align="left" rowspan="1" colspan="1">with CCS, n</th><th align="left" rowspan="1" colspan="1">Age of patients with CCS, years</th><th align="left" rowspan="1" colspan="1">Predisposing ocular conditions</th><th align="left" rowspan="1" colspan="1">CCC size, mm</th><th align="left" rowspan="1" colspan="1">CTR im-plantation at the time of surgery</th><th align="left" rowspan="1" colspan="1">Time between surgery and CCS</th><th align="left" rowspan="1" colspan="1">Clinical manifestations</th><th align="left" rowspan="1" colspan="1">Treatment</th><th align="left" rowspan="1" colspan="1">Complications</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Scorolli [<xref rid="B3" ref-type="bibr">3</xref>], 1996</td><td align="left" rowspan="1" colspan="1">PMMA (NBS)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">28, 68</td><td align="left" rowspan="1" colspan="1">M (1)</td><td align="left" rowspan="1" colspan="1">4.5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">1 month</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">L (2)</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Hayashi [<xref rid="B4" ref-type="bibr">4</xref>], 1998</td><td align="left" rowspan="1" colspan="1">PMMA MZ60BD (Alcon)</td><td align="left" rowspan="1" colspan="1">47</td><td align="left" rowspan="1" colspan="1">14</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">RP (47)</td><td align="left" rowspan="1" colspan="1">5.5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">within 12 months</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">L (14)</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Spang [<xref rid="B5" ref-type="bibr">5</xref>], 1999</td><td align="left" rowspan="1" colspan="1">PMMA (NBS)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">81</td><td align="left" rowspan="1" colspan="1">NAG</td><td align="left" rowspan="1" colspan="1">4–5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">2 months</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">SC</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Chawla [<xref rid="B6" ref-type="bibr">6</xref>], 1999</td><td align="left" rowspan="1" colspan="1">Allergan SI30 NB</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">80</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">1.5 months</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Lanzl [<xref rid="B7" ref-type="bibr">7</xref>], 1999</td><td align="left" rowspan="1" colspan="1">3-piece PMMA, Pharmacia 155A</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">74</td><td align="left" rowspan="1" colspan="1">None</td><td align="left" rowspan="1" colspan="1">5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">18 months</td><td align="left" rowspan="1" colspan="1">VAR, CBD with hypotony</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Salzmann [<xref rid="B8" ref-type="bibr">8</xref>], 2000</td><td align="left" rowspan="1" colspan="1">Foldable silicone (NBS), one-piece PMMA (NBS)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">72, 70</td><td align="left" rowspan="1" colspan="1">OAG (2)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">2 months (2)</td><td align="left" rowspan="1" colspan="1">VAR (2), CBD with hypotony (2)</td><td align="left" rowspan="1" colspan="1">L and SC (1), L (1)</td><td align="left" rowspan="1" colspan="1">L ineffective in 1</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Sudhir [<xref rid="B9" ref-type="bibr">9</xref>], 2001</td><td align="left" rowspan="1" colspan="1">PMMA, Universal Model</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">56</td><td align="left" rowspan="1" colspan="1">RP, zonular laxity</td><td align="left" rowspan="1" colspan="1">6</td><td align="left" rowspan="1" colspan="1">I</td><td align="left" rowspan="1" colspan="1">4 months</td><td rowspan="1" colspan="1"></td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Srinivasan [<xref rid="B10" ref-type="bibr">10</xref>], 2001</td><td align="left" rowspan="1" colspan="1">Allergan SI40 NB</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">72</td><td align="left" rowspan="1" colspan="1">OAG, previous trabeculectomy</td><td align="left" rowspan="1" colspan="1">5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">2.5 months</td><td align="left" rowspan="1" colspan="1">CBD, hypotony, VAR</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Montanes [<xref rid="B11" ref-type="bibr">11</xref>], 2002</td><td align="left" rowspan="1" colspan="1">AcrySof MA30BA (Alcon)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">69</td><td align="left" rowspan="1" colspan="1">PXE phakodonesis</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">I (2)</td><td align="left" rowspan="1" colspan="1">2 months</td><td align="left" rowspan="1" colspan="1">VAR (1)</td><td align="left" rowspan="1" colspan="1">L (1)</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Ueno [<xref rid="B12" ref-type="bibr">12</xref>], 2004</td><td align="left" rowspan="1" colspan="1">AcrySof MA60BM (Alcon)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">80</td><td align="left" rowspan="1" colspan="1">PXE, OAG, phacodonesis</td><td align="left" rowspan="1" colspan="1">4–5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">1 month</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">IOLE, CBR, Vx, scleral fixation IOL</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Musa [<xref rid="B13" ref-type="bibr">13</xref>], 2004</td><td align="left" rowspan="1" colspan="1">Soflex 2 (Bausch and Lomb)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">81</td><td align="left" rowspan="1" colspan="1">OAG, previous trabeculectomy</td><td align="left" rowspan="1" colspan="1">5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">2 months</td><td align="left" rowspan="1" colspan="1">VAR, hypotony, choroidal effusion</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Sanders [<xref rid="B14" ref-type="bibr">14</xref>], 2006</td><td align="left" rowspan="1" colspan="1">Collamer CC4204BF (Staar Surgical)</td><td align="left" rowspan="1" colspan="1">160,000</td><td align="left" rowspan="1" colspan="1">40</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">Less than 5.5 in several eyes</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1 week, 11 months</td><td align="left" rowspan="1" colspan="1">HS (40)</td><td align="left" rowspan="1" colspan="1">L (14)</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Prakash [<xref rid="B15" ref-type="bibr">15</xref>], 2007</td><td align="left" rowspan="1" colspan="1">ThinOptX (ThinOptX, Inc)</td><td align="left" rowspan="1" colspan="1">50</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">IOLE</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Ozturk [<xref rid="B16" ref-type="bibr">16</xref>], 2007</td><td align="left" rowspan="1" colspan="1">Collamer CC420BF (Staar Surgical)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">69, 72</td><td align="left" rowspan="1" colspan="1">None</td><td align="left" rowspan="1" colspan="1">4.5 (1) NR (1)</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">1 month (1), 7 weeks (1)</td><td align="left" rowspan="1" colspan="1">HS (1), HS-VAR (1)</td><td align="left" rowspan="1" colspan="1">IOLE (1), IOLE-CBR-IOLAC (1)</td><td align="left" rowspan="1" colspan="1">CE in 1</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Venkatesh [<xref rid="B17" ref-type="bibr">17</xref>], 2008</td><td align="left" rowspan="1" colspan="1">Sensar AR40e (AMO)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">65</td><td align="left" rowspan="1" colspan="1">PXE</td><td align="left" rowspan="1" colspan="1">5–5.5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">2 months</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Cavallini [<xref rid="B18" ref-type="bibr">18</xref>], 2008</td><td align="left" rowspan="1" colspan="1">Akreos MI60 (Bausch and Lomb)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">80</td><td align="left" rowspan="1" colspan="1">None</td><td align="left" rowspan="1" colspan="1">5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">6 months</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">SC</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Dubois [<xref rid="B19" ref-type="bibr">19</xref>], 2009</td><td align="left" rowspan="1" colspan="1">Akreos Adapt (Bausch and Lomb)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">1</td><td align="left" rowspan="1" colspan="1">90</td><td align="left" rowspan="1" colspan="1">PXE</td><td align="left" rowspan="1" colspan="1">4</td><td align="left" rowspan="1" colspan="1">I</td><td align="left" rowspan="1" colspan="1">1,5 months</td><td align="left" rowspan="1" colspan="1">VAR</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Caravella [<xref rid="B20" ref-type="bibr">20</xref>], 2010</td><td align="left" rowspan="1" colspan="1">Akreos (Bausch and Lomb)</td><td align="left" rowspan="1" colspan="1">Large series NBS</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">None</td><td align="left" rowspan="1" colspan="1">5.5</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">3 months (1), NR (1)</td><td align="left" rowspan="1" colspan="1">none</td><td align="left" rowspan="1" colspan="1">L</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Qatarneh [<xref rid="B21" ref-type="bibr">21</xref>], 2010</td><td align="left" rowspan="1" colspan="1">Akreos Adapt (Bausch and Lomb)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">3</td><td align="left" rowspan="1" colspan="1">55, 48, 59</td><td align="left" rowspan="1" colspan="1">M (2), RP (2)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">9 months, 11 months, 6 months</td><td align="left" rowspan="1" colspan="1">HS (2), VAR (1)</td><td align="left" rowspan="1" colspan="1">no (1), L (1), SC (1)</td><td align="left" rowspan="1" colspan="1">L (1) and SC (1) not effective</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Michael [<xref rid="B22" ref-type="bibr">22</xref>], 2010</td><td align="left" rowspan="1" colspan="1">Quatrix (Croma-Pharma GmbH)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">5</td><td align="left" rowspan="1" colspan="1">56, 46, 81, 84</td><td align="left" rowspan="1" colspan="1">RP (1), U (1)</td><td align="left" rowspan="1" colspan="1">6–8 NBS</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">2 months (1), 2 weeks (1), 1.5 months (1), 3 months (1), 6 m (1)</td><td align="left" rowspan="1" colspan="1">VAR (5)</td><td align="left" rowspan="1" colspan="1">IOLE-IOLAC (1), SC-IOLE-CBRVx-IOLAC (2), no (2)</td><td align="left" rowspan="1" colspan="1">GRT (1)</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Zaugg [<xref rid="B23" ref-type="bibr">23</xref>], 2010</td><td align="left" rowspan="1" colspan="1">Raysoft (Rayner Intraocular Lenses, Ltd), Bioacryl (Biotech)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">60, NR (1)</td><td align="left" rowspan="1" colspan="1">None (1), PXE (1)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NI (1) I (1)</td><td align="left" rowspan="1" colspan="1">1 month (1), NR (1)</td><td align="left" rowspan="1" colspan="1">VAR-HS (1), VAR (1)</td><td align="left" rowspan="1" colspan="1">IOLE-CBR-Vx-IOLIF (1), IOLE-CBR (1)</td><td align="left" rowspan="1" colspan="1">NR</td></tr><tr><td align="left" colspan="12" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Present report</td><td align="left" rowspan="1" colspan="1">Akreos MI60 (Bausch and Lomb)</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">2</td><td align="left" rowspan="1" colspan="1">72, 68</td><td align="left" rowspan="1" colspan="1">None</td><td align="left" rowspan="1" colspan="1">NR</td><td align="left" rowspan="1" colspan="1">NI</td><td align="left" rowspan="1" colspan="1">4 months, 3 months</td><td align="left" rowspan="1" colspan="1">VAR (2), CBD (1), HS (1)</td><td align="left" rowspan="1" colspan="1">L (2)</td><td align="left" rowspan="1" colspan="1">NR</td></tr></tbody></table><table-wrap-foot><fn><p>CBD = Ciliary body detachment; CBR = capsular bag removal; CCC = continuous curvilinear capsulorhexis;, CE = corneal edema; CTR =capsular tension ring; GRT = giant retinal tear; HS = hyperopic shift; I = implanted; IOLAC IOL = in anterior chamber; IOLE IOL = exchange; IOLIF = iris-fixated IOL; L Nd:YAG = laser anterior capsulotomy; M = myopia; NAG = narrow angle glaucoma; NBS = not better specified; NED = no evidence of disease; NI = not implanted; NR = not reported; OAG = open-angle glaucoma; PXE = pseudoexfoliation; RP = retinitis pigmentosa; SC = surgical anterior capsulotomy; U = uveitis; VAR = visual acuity reduction; Vx = vitrectomy.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C78 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000C78 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= HapticV1
|flux= Pmc
|étape= Curation
|type= RBID
|clé= PMC:4241644
|texte= Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:25473400" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |