|Year : 2022 | Volume
| Issue : 3 | Page : 853
Severe anterior capsular phimosis with lens decentration in a patient with high myopia
Sandip Sarkar, Amit K Deb, Priyanka Ramanathan, Ajax Jossy, Mrugank Patel
Department of Ophthalmology, Jawaharlal Institute Postgraduate Medical Education and Research, Puducherry, India
|Date of Web Publication||16-Jul-2022|
Dr. Amit K Deb
Associate Professor of Ophthalmology, Jawaharlal Institute Postgraduate Medical Education and Research, Puducherry - 605 006
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sarkar S, Deb AK, Ramanathan P, Jossy A, Patel M. Severe anterior capsular phimosis with lens decentration in a patient with high myopia. Indian J Ophthalmol Case Rep 2022;2:853
|How to cite this URL:|
Sarkar S, Deb AK, Ramanathan P, Jossy A, Patel M. Severe anterior capsular phimosis with lens decentration in a patient with high myopia. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 19];2:853. Available from: https://www.ijoreports.in/text.asp?2022/2/3/853/351191
Capsular contraction syndrome (CCS) occurs predominantly after continuous curvilinear capsulorhexis. It can lead to capsulorhexis shrinkage and secondary intraocular lens (IOL) deformation or decentration. CCS is seen in pseudoexfoliation, diabetic retinopathy, myotonic dystrophy, retinitis pigmentosa, uveitis, high myopia, etc.,,,,
A 42-year-old woman with pathological myopia presented with progressive loss of vision in both eyes for 6 months after uneventful phacoemulsification 2 years ago. Best-corrected visual acuity (BCVA) was 2/60 in OD and 6/36 in OS. Slit-lamp examination revealed severe degree of anterior capsular phimosis with IOL deformation and decentration in OD [Figure 1]a and mild anterior capsular phimosis in OS [Figure 1]b. The IOL-bag complex was explanted due to zonular instability followed by pars plana vitrectomy with 360° prophylactic barrage endolaser in OD. The patient was left aphakic [Figure 2]a. Nd: YAG laser capsulotomy was performed in OS [Figure 2]b. One week following surgery, BCVA improved to 6/9 with -2 D spherical correction in OD and 6/9 in OS.
|Figure 1: (a) Severe contracted anterior capsule with closed capsulorhexis opening, IOL haptics folded over the optic with severe deformity and IOL decentration, fused anterior and posterior capsules inferiorly, stretched zonules, and membranous posterior capsular opacification (PCO) in the right eye; (b) mild anterior capsular opacity (ACO) but an intact anterior capsular opening, mild PCO, and mild IOL deformity in the superotemporal aspect in the left eye|
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|Figure 2: Slit-lamp photograph showing (a) aphakia in the right eye following explantation of IOL-capsular bag complex; (b) clear visual axis in the left eye 1 week after Nd: YAG laser capsulotomy|
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Statement of ethics
Written informed consent for publication (including the images) has been obtained from the parent of the patient. All procedures carried out were in accordance with the tenets of the Declaration of Helsinki. Institute Ethics Committee approval is not required for a case report according to Indian Council of Medical Research guidelines.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
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[Figure 1], [Figure 2]