Rapid bilateral anterior capsule contraction following high myopic cataract surgeries: a case report
Identifieur interne : 000C66 ( Pmc/Curation ); précédent : 000C65; suivant : 000C67Rapid bilateral anterior capsule contraction following high myopic cataract surgeries: a case report
Auteurs : Wei Xiao ; Dai-Xin Zhao ; Long-Quan XueSource :
- International Journal of Ophthalmology [ 2222-3959 ] ; 2011.
Abstract
We describe a rapid anterior capsule contraction following phacoemulsifiction and intraocular lens(IOL) implantation in an old woman with high myopia. The patient with high myopia complicated with cataract received phacoemulcification and IOL implantation bilaterally .The best-corrected visual acuity (BCVA) improved from 0.1 to 0.4 in the right eye and 0.5 in the left eye 1 week after surgeries.5 weeks after surgery of the right eye and 4 weeks after surgery of the left eye, the patient complained blurred vision in the right eye. BCVA of the right eye was 0.06 and that of the left was 0.1. Slit-lamp examination revealed anterior capsule contraction in both eyes and a fully closed capsulorhexis opening in the right eye. The IOLs were centered but almost completely enclosed, with numerous linear fibrous folds radiating from the hick central fibrosis. We surgically excised the central part of the anterior capsule of the eyes with microscissors, resulting again in BCVA of 0.4 and 0.5 in the right and left eyes respectively. Anterior capsule contraction might appear much earlier than three months after phacoemulsification and IOL implantation surgery in case of high myopia complicated with cataract. Patients with high myopia receive cataract and IOL surgery should be monitored carefully for the rapid development of anterior capsule contraction.
Url:
DOI: 10.3980/j.issn.2222-3959.2011.02.21
PubMed: 22553644
PubMed Central: 3340692
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<author><name sortKey="Xiao, Wei" sort="Xiao, Wei" uniqKey="Xiao W" first="Wei" last="Xiao">Wei Xiao</name>
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<front><div type="abstract" xml:lang="en"><p>We describe a rapid anterior capsule contraction following phacoemulsifiction and intraocular lens(IOL) implantation in an old woman with high myopia. The patient with high myopia complicated with cataract received phacoemulcification and IOL implantation bilaterally .The best-corrected visual acuity (BCVA) improved from 0.1 to 0.4 in the right eye and 0.5 in the left eye 1 week after surgeries.5 weeks after surgery of the right eye and 4 weeks after surgery of the left eye, the patient complained blurred vision in the right eye. BCVA of the right eye was 0.06 and that of the left was 0.1. Slit-lamp examination revealed anterior capsule contraction in both eyes and a fully closed capsulorhexis opening in the right eye. The IOLs were centered but almost completely enclosed, with numerous linear fibrous folds radiating from the hick central fibrosis. We surgically excised the central part of the anterior capsule of the eyes with microscissors, resulting again in BCVA of 0.4 and 0.5 in the right and left eyes respectively. Anterior capsule contraction might appear much earlier than three months after phacoemulsification and IOL implantation surgery in case of high myopia complicated with cataract. Patients with high myopia receive cataract and IOL surgery should be monitored carefully for the rapid development of anterior capsule contraction.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Ophthalmol</journal-id>
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<title-group><article-title>Rapid bilateral anterior capsule contraction following high myopic cataract surgeries: a case report</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Xiao</surname>
<given-names>Wei</given-names>
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<contrib contrib-type="author"><name><surname>Zhao</surname>
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<contrib contrib-type="author"><name><surname>Xue</surname>
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<aff id="aff1"><addr-line>Department of Ophthalmology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China</addr-line>
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<author-notes><corresp><bold>Correspondence to:</bold>
Wei Xiao. Department of Ophthalmology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China. <email>xiaow@sj-hospital.org</email>
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<volume>4</volume>
<issue>2</issue>
<fpage>207</fpage>
<lpage>209</lpage>
<history><date date-type="received"><day>4</day>
<month>3</month>
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<permissions><copyright-statement>International Journal of Ophthalmology Press</copyright-statement>
<copyright-year>2011</copyright-year>
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<abstract><p>We describe a rapid anterior capsule contraction following phacoemulsifiction and intraocular lens(IOL) implantation in an old woman with high myopia. The patient with high myopia complicated with cataract received phacoemulcification and IOL implantation bilaterally .The best-corrected visual acuity (BCVA) improved from 0.1 to 0.4 in the right eye and 0.5 in the left eye 1 week after surgeries.5 weeks after surgery of the right eye and 4 weeks after surgery of the left eye, the patient complained blurred vision in the right eye. BCVA of the right eye was 0.06 and that of the left was 0.1. Slit-lamp examination revealed anterior capsule contraction in both eyes and a fully closed capsulorhexis opening in the right eye. The IOLs were centered but almost completely enclosed, with numerous linear fibrous folds radiating from the hick central fibrosis. We surgically excised the central part of the anterior capsule of the eyes with microscissors, resulting again in BCVA of 0.4 and 0.5 in the right and left eyes respectively. Anterior capsule contraction might appear much earlier than three months after phacoemulsification and IOL implantation surgery in case of high myopia complicated with cataract. Patients with high myopia receive cataract and IOL surgery should be monitored carefully for the rapid development of anterior capsule contraction.</p>
</abstract>
<kwd-group><kwd>high myopia</kwd>
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