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Capsular bag phimosis.

Mayuresh Naik1, HarinderSingh Sethi2, Anuj Mehta2

  • 1Department of Ophthalmology, H.I.M.S.R & H.A.H.C Hospital, Near GK-2, Alaknanda, New Delhi, 110062, India.

American Journal of Ophthalmology Case Reports
|December 15, 2020
PubMed
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This summary is machine-generated.

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Capsular bag phimosis, a complication of cataract surgery, can severely distort intraocular lenses (IOLs). This case highlights successful IOL explantation and replacement with a scleral-fixated IOL, restoring excellent visual acuity.

Area of Science:

  • Ophthalmology
  • Surgical Complications
  • Intraocular Lenses

Background:

  • Cataract surgery complications can impact visual outcomes.
  • Capsular bag phimosis, characterized by capsular bag contraction, can affect intraocular lens (IOL) position and function.
  • Previous cataract surgery details were unavailable for this patient.

Purpose of the Study:

  • To describe a case of severe capsular bag phimosis causing significant intraocular lens (IOL) distortion.
  • To evaluate the management and visual outcomes of explanting a malpositioned IOL due to capsular phimosis.
  • To present the successful implantation of a scleral-fixated IOL after IOL explantation.

Main Methods:

  • Clinical presentation of a 60-year-old male with progressive vision loss post-cataract surgery.
Keywords:
Capsular bag phimosisIOLIOL explant

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  • Slit-lamp examination and anterior segment optical coherence tomography (ASOCT) to diagnose capsular bag phimosis and IOL malposition.
  • Surgical intervention involving IOL explantation, capsular bag removal, and scleral-fixated IOL implantation.

    • Main Results:

    • Diagnosis of capsular bag phimosis with severe intraocular lens (IOL) moulding and optic distortion.
    • YAG capsulotomy deemed unsuitable due to risk of severe visual distortion and aniseikonia.
    • Successful explantation of the compromised IOL and capsular bag, followed by scleral-fixated IOL implantation.
    • Achieved a final best-corrected visual acuity (BCVA) of 20/20.

    Conclusions:

    • Capsular bag phimosis can lead to significant intraocular lens (IOL) malposition and visual impairment.
    • IOL explantation and secondary implantation, such as with a scleral-fixated IOL, can be an effective treatment for severe capsular phimosis.
    • Restoration of excellent visual acuity is achievable with appropriate surgical management.