Capsular contraction syndrome following insertion of hydrophilic acrylic lens

A 52-year-old female of Asian Indian origin underwent uncomplicated phacoemulsification with insertion of a foldable hydrophilic acrylic single-piece intraocular lens which resulted in good postoperative vision. Five weeks later she presented with decreased vision and examination revealed fibrosis as well as phimosis of the anterior capsular opening. Surgical capsulotomy was performed as there was an extremely thick fibrotic membrane, thereby clearing the visual axis and improving her vision. Capsular contraction syndrome (CCS) is very rare following insertion of hydrophilic acrylic lenses. We describe a case of anterior capsular contraction syndrome following uneventful surgery and without any known predisposing factors.