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Updated: Aug 24, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Choroidal effusion and hypotony caused by severe anterior lens capsule contraction following cataract surgery
F Musa1, A K V Aralikatti, S Prasad
1Department of Ophthalmology, Arrowe Park Hospital, Wirral, United Kingdom. fayyaz@doctors.net.uk
Purpose:
The case report describes a case of severe anterior capsular contraction associated with choroidal effusion.
Case Report:
An 81 year old female with primary open angle glaucoma underwent routine phacoemulsification cataract surgery. Eight weeks following surgery the anterior capsule opening had reduced to 3 mm in size. Intraocular pressure was found to be 4 mmHg and B scan ultrasound revealed a large choroidal effusion. Anterior capsulotomy with Nd:YAG laser was performed. At review, two weeks later, the choroidal effusion had resolved and visual acuity had recovered.
Discussion:
The Nd:YAG laser radial relaxing capsulotomies helped relieve the capsular contraction and associated traction on the ciliary body.
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