Early Postoperative Capsular Block Syndrome

Jau Der Ho, Jiahn Shing Lee, Hung Chiao Chen, Cheng Lien Ho, San Ni Chen

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Postoperative capsular block syndrome (CBS) is a unique and rare complication of continuous curvilinear capsulorhexis (CCC). The purpose of this study was to analyze the clinical characteristics and results of early postoperative CBS. Methods: Patients who developed early postoperative CBS after cataract surgery from October 1998 through September 2002 were retrospectively identified. All eyes underwent smooth phacoemulsification after anterior CCC. An intraocular lens (IOL) was implanted into the capsular bag. Neodymuim:YAG (Nd:YAG) laser peripheral anterior capsulotomy or posterior capsulotomy was performed when resolution did not occur or the intracoular pressure was elevated. Results: Eight eyes of eight patients were included in the study. These patients presented with a shallow anterior chamber, anteriorly displaced IOL, distended capsular bag, and myopic shift within the first week after the surgery. One eye was associated with secondary angle-closure glaucoma. No CBS resolved without intervention during the follow-up period. The Nd:YAG laser peripheral anterior capsulotomy (4 eyes) and posterior capsulotomy (4 eyes) were successful in resolving the CBS in all eyes, and normalized the intraocular pressure in the eye with secondary angle-closure glaucoma. Conclusion: Postoperative CBS did not resolve spontaneously in most cases. Only a small percentage of early postoperative CBS was associated with secondary glaucoma. The Nd:YAG laser peripheral anterior capsulotomy and posterior capsulotomy were successful in treating postoperative CBS.

Original languageEnglish
Pages (from-to)745-753
Number of pages9
JournalChang Gung Medical Journal
Volume26
Issue number10
Publication statusPublished - Oct 2003
Externally publishedYes

Fingerprint

Posterior Capsulotomy
Solid-State Lasers
Capsulorhexis
Angle Closure Glaucoma
Intraocular Lenses
Phacoemulsification
Anterior Chamber
Intraocular Pressure
Glaucoma
Cataract
Pressure

Keywords

  • Capsular block syndrome
  • Cataract
  • Continuous curvilinear capsulorhexis
  • Phacoemulsification

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ho, J. D., Lee, J. S., Chen, H. C., Ho, C. L., & Chen, S. N. (2003). Early Postoperative Capsular Block Syndrome. Chang Gung Medical Journal, 26(10), 745-753.

Early Postoperative Capsular Block Syndrome. / Ho, Jau Der; Lee, Jiahn Shing; Chen, Hung Chiao; Ho, Cheng Lien; Chen, San Ni.

In: Chang Gung Medical Journal, Vol. 26, No. 10, 10.2003, p. 745-753.

Research output: Contribution to journalArticle

Ho, JD, Lee, JS, Chen, HC, Ho, CL & Chen, SN 2003, 'Early Postoperative Capsular Block Syndrome', Chang Gung Medical Journal, vol. 26, no. 10, pp. 745-753.
Ho JD, Lee JS, Chen HC, Ho CL, Chen SN. Early Postoperative Capsular Block Syndrome. Chang Gung Medical Journal. 2003 Oct;26(10):745-753.
Ho, Jau Der ; Lee, Jiahn Shing ; Chen, Hung Chiao ; Ho, Cheng Lien ; Chen, San Ni. / Early Postoperative Capsular Block Syndrome. In: Chang Gung Medical Journal. 2003 ; Vol. 26, No. 10. pp. 745-753.
@article{1d42ed0c45f5451f8811586c50e4df72,
title = "Early Postoperative Capsular Block Syndrome",
abstract = "Background: Postoperative capsular block syndrome (CBS) is a unique and rare complication of continuous curvilinear capsulorhexis (CCC). The purpose of this study was to analyze the clinical characteristics and results of early postoperative CBS. Methods: Patients who developed early postoperative CBS after cataract surgery from October 1998 through September 2002 were retrospectively identified. All eyes underwent smooth phacoemulsification after anterior CCC. An intraocular lens (IOL) was implanted into the capsular bag. Neodymuim:YAG (Nd:YAG) laser peripheral anterior capsulotomy or posterior capsulotomy was performed when resolution did not occur or the intracoular pressure was elevated. Results: Eight eyes of eight patients were included in the study. These patients presented with a shallow anterior chamber, anteriorly displaced IOL, distended capsular bag, and myopic shift within the first week after the surgery. One eye was associated with secondary angle-closure glaucoma. No CBS resolved without intervention during the follow-up period. The Nd:YAG laser peripheral anterior capsulotomy (4 eyes) and posterior capsulotomy (4 eyes) were successful in resolving the CBS in all eyes, and normalized the intraocular pressure in the eye with secondary angle-closure glaucoma. Conclusion: Postoperative CBS did not resolve spontaneously in most cases. Only a small percentage of early postoperative CBS was associated with secondary glaucoma. The Nd:YAG laser peripheral anterior capsulotomy and posterior capsulotomy were successful in treating postoperative CBS.",
keywords = "Capsular block syndrome, Cataract, Continuous curvilinear capsulorhexis, Phacoemulsification",
author = "Ho, {Jau Der} and Lee, {Jiahn Shing} and Chen, {Hung Chiao} and Ho, {Cheng Lien} and Chen, {San Ni}",
year = "2003",
month = "10",
language = "English",
volume = "26",
pages = "745--753",
journal = "Chang Gung Medical Journal",
issn = "0255-8270",
publisher = "Chang Gung Medical Journal",
number = "10",

}

TY - JOUR

T1 - Early Postoperative Capsular Block Syndrome

AU - Ho, Jau Der

AU - Lee, Jiahn Shing

AU - Chen, Hung Chiao

AU - Ho, Cheng Lien

AU - Chen, San Ni

PY - 2003/10

Y1 - 2003/10

N2 - Background: Postoperative capsular block syndrome (CBS) is a unique and rare complication of continuous curvilinear capsulorhexis (CCC). The purpose of this study was to analyze the clinical characteristics and results of early postoperative CBS. Methods: Patients who developed early postoperative CBS after cataract surgery from October 1998 through September 2002 were retrospectively identified. All eyes underwent smooth phacoemulsification after anterior CCC. An intraocular lens (IOL) was implanted into the capsular bag. Neodymuim:YAG (Nd:YAG) laser peripheral anterior capsulotomy or posterior capsulotomy was performed when resolution did not occur or the intracoular pressure was elevated. Results: Eight eyes of eight patients were included in the study. These patients presented with a shallow anterior chamber, anteriorly displaced IOL, distended capsular bag, and myopic shift within the first week after the surgery. One eye was associated with secondary angle-closure glaucoma. No CBS resolved without intervention during the follow-up period. The Nd:YAG laser peripheral anterior capsulotomy (4 eyes) and posterior capsulotomy (4 eyes) were successful in resolving the CBS in all eyes, and normalized the intraocular pressure in the eye with secondary angle-closure glaucoma. Conclusion: Postoperative CBS did not resolve spontaneously in most cases. Only a small percentage of early postoperative CBS was associated with secondary glaucoma. The Nd:YAG laser peripheral anterior capsulotomy and posterior capsulotomy were successful in treating postoperative CBS.

AB - Background: Postoperative capsular block syndrome (CBS) is a unique and rare complication of continuous curvilinear capsulorhexis (CCC). The purpose of this study was to analyze the clinical characteristics and results of early postoperative CBS. Methods: Patients who developed early postoperative CBS after cataract surgery from October 1998 through September 2002 were retrospectively identified. All eyes underwent smooth phacoemulsification after anterior CCC. An intraocular lens (IOL) was implanted into the capsular bag. Neodymuim:YAG (Nd:YAG) laser peripheral anterior capsulotomy or posterior capsulotomy was performed when resolution did not occur or the intracoular pressure was elevated. Results: Eight eyes of eight patients were included in the study. These patients presented with a shallow anterior chamber, anteriorly displaced IOL, distended capsular bag, and myopic shift within the first week after the surgery. One eye was associated with secondary angle-closure glaucoma. No CBS resolved without intervention during the follow-up period. The Nd:YAG laser peripheral anterior capsulotomy (4 eyes) and posterior capsulotomy (4 eyes) were successful in resolving the CBS in all eyes, and normalized the intraocular pressure in the eye with secondary angle-closure glaucoma. Conclusion: Postoperative CBS did not resolve spontaneously in most cases. Only a small percentage of early postoperative CBS was associated with secondary glaucoma. The Nd:YAG laser peripheral anterior capsulotomy and posterior capsulotomy were successful in treating postoperative CBS.

KW - Capsular block syndrome

KW - Cataract

KW - Continuous curvilinear capsulorhexis

KW - Phacoemulsification

UR - http://www.scopus.com/inward/record.url?scp=0348148869&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0348148869&partnerID=8YFLogxK

M3 - Article

VL - 26

SP - 745

EP - 753

JO - Chang Gung Medical Journal

JF - Chang Gung Medical Journal

SN - 0255-8270

IS - 10

ER -