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Intraoperative capsular block syndrome masquerading as expulsive hemorrhage.
C C Yip1, K G Au Eong, V S H Yong
1The Eye Institute, National Healthcare Group, Tan Tock Seng Hospital, Singapore.
European Journal of Ophthalmology
|September 11, 2002
Summary
Intraoperative capsular block syndrome (CBS) can mimic expulsive hemorrhage during cataract surgery. Early recognition and management of CBS are crucial for optimizing visual outcomes in patients.
Area of Science:
- Ophthalmology
- Surgical Complications
- Cataract Surgery
Background:
- Capsular block syndrome (CBS) is a known complication during cataract surgery.
- Expulsive hemorrhage is a severe, sight-threatening complication during intraocular surgery.
Observation:
- Two cases of intraoperative capsular block syndrome (CBS) presented with signs mimicking expulsive hemorrhage.
- Patients developed severe globe hardening and anterior chamber shallowing post-hydrodissection.
Findings:
- One patient's CBS was recognized, leading to conversion to extracapsular cataract surgery and anterior vitrectomy, with a final visual acuity of 6/24.
- In the second patient, unrecognized CBS caused posterior lens dislocation, requiring vitrectomy and sulcus lens implantation, resulting in 6/9 visual acuity.
Implications:
- Intraoperative CBS can be misdiagnosed as expulsive hemorrhage.
- Prompt diagnosis and appropriate management of CBS are essential for achieving favorable visual outcomes.
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