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Measuring Lactase Enzymatic Activity in the Teaching Lab
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["Lacteocrumenasia"--Capsular block syndrome III].

A Ramharter-Sereinig1, E Schmid, N Bechrakis

  • 1Univ.-Augenklinik Innsbruck, Anichstrasse 35, 6020, Innsbruck, Osterreich. Anke.Ramharter@i-med.ac.at

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|September 17, 2009
PubMed
Summary

Capsular block syndrome (CBS) type III is a complication after cataract surgery, presenting as milky fluid behind the intraocular lens. Treatment involves Nd:YAG laser posterior capsulotomy or surgery if infection is suspected.

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Area of Science:

  • Ophthalmology
  • Surgical Complications
  • Cataract Surgery

Context:

  • Capsular block syndrome (CBS) is a recognized complication of otherwise uncomplicated cataract surgery.
  • CBS can manifest in three distinct types based on etiology and onset.
  • This study focuses on four cases of a specific subtype, CBS type III.

Purpose:

  • To describe the clinical presentation and management of four patients diagnosed with Capsular Block Syndrome type III.
  • To highlight the characteristic finding of milky fluid accumulation between the intraocular lens (IOL) and the posterior capsule.
  • To discuss the recommended therapeutic interventions for CBS type III.

Summary:

  • Four patients with CBS type III presented with reduced vision due to a milky fluid accumulating between the posterior surface of the IOL and the distended posterior capsular bag.
  • The primary visual complaint was decreased visual acuity.
  • The standard treatment is Nd:YAG laser posterior capsulotomy; however, surgical intervention is considered for suspected low-grade endophthalmitis, allowing for bacterial culture.

Impact:

  • Provides clinical insights into the presentation and management of a specific subtype of capsular block syndrome.
  • Emphasizes the importance of timely diagnosis and appropriate intervention for visual recovery after cataract surgery.
  • Contributes to the understanding of surgical complication management in ophthalmology.