Capsular phimosis with intraocular lens tilt and decentration
Soon-Phaik Chee1, H Burkhard Dick, Samuel Masket
1Singapore.
Journal of Cataract and Refractive Surgery
|September 28, 2023
Summary
Cataract surgery in a patient with uveitis led to capsular phimosis and IOL decentration. Management involved addressing these complications and preventing recurrence in the fellow eye.
Area of Science:
- Ophthalmology
- Surgical Complications
- Uveitis Management
Background:
- A 34-year-old woman with intermediate uveitis and glaucoma underwent cataract surgery.
- She had a history of controlled intraocular pressure (IOP) and was on topical corticosteroids.
Observation:
- Post-surgery, the patient developed anterior capsule fibrosis and capsular phimosis, leading to IOL decentration and visual decline.
- Ultrasound biomicroscopy revealed a thickened anterior capsule and a posteriorly bowed IOL.
Findings:
- The patient experienced deteriorating vision due to capsular phimosis and IOL decentration despite topical steroid use.
- Management strategies for the fellow eye must consider the risk of capsular bag complications.
Implications:
- Prompt recognition and management of capsular phimosis are crucial after cataract surgery in uveitis patients.
- Preventive measures, such as modified surgical techniques or IOL choices, may be necessary for the fellow eye to avoid similar complications.
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