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Capsular block syndrome associated with secondary angle-closure glaucoma.
1Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Journal of Cataract and Refractive Surgery
|September 22, 2001
Summary
Capsular block syndrome can cause secondary glaucoma in patients with intraocular lenses. Neodymium:YAG laser capsulotomy effectively treated this condition, restoring vision and resolving glaucoma.
Area of Science:
- Ophthalmology
- Surgical Complications
- Glaucoma Management
Background:
- Phacoemulsification with intraocular lens (IOL) implantation is a common cataract surgery procedure.
- Posterior chamber intraocular lenses (PCIOLs) are frequently used, often with ciliary sulcus fixation.
Observation:
- An 83-year-old male developed capsular block syndrome (CBS) one year post-surgery.
- This complication led to secondary angle-closure glaucoma and elevated intraocular pressure (IOP).
Findings:
- Neodymium:YAG (Nd:YAG) laser capsulotomy was performed to address the CBS.
- The procedure resulted in immediate resolution of glaucoma and restoration of vision.
Implications:
- CBS should be considered in pseudophakic patients with sudden IOP increase and narrow angles.
- Nd:YAG laser capsulotomy is an effective treatment for CBS-induced secondary glaucoma.