Early Postoperative Capsular Block Syndrome

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

研究成果: 雜誌貢獻文章

8 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)745-753
頁數9
期刊Chang Gung Medical Journal
26
發行號10
出版狀態已發佈 - 十月 2003
對外發佈Yes

    指紋

ASJC Scopus subject areas

  • Medicine(all)

引用此

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.