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OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 621

“Double halves banana split” on anterior segment optical coherence tomography in capsular bag distension syndrome


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication28-Apr-2023

Correspondence Address:
Amber Amar Bhayana
Dr. R P Centre, AIIMS, New Delhi-110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJO.IJO_3306_22

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How to cite this article:
Bhayana AA. “Double halves banana split” on anterior segment optical coherence tomography in capsular bag distension syndrome. Indian J Ophthalmol Case Rep 2023;3:621

How to cite this URL:
Bhayana AA. “Double halves banana split” on anterior segment optical coherence tomography in capsular bag distension syndrome. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 2];3:621. Available from: https://www.ijoreports.in/text.asp?2023/3/2/621/375036



A 70-year-old pseudophakic male (history of recurrent anterior uveitis) had capsular bag distension syndrome,[1] with a collection of fluid in retro-intraocular lens space (IOL) [Figure 1]a and [Figure 1]b. The lower part of the fluid had “hypopyon” like dense debris collection [arrow—[Figure 1]a and [Figure 1]b]. The appearance on anterior segment optical coherence tomography was like a banana “doubly split”—half of the IOL-bag volume was occupied by the fluid, and half of this fluid was occupied by the debris [Figure 1]c. The subject had the best corrected visual acuity of 20/40, and was kept on conservative 3 monthly follow-up.
Figure 1: (a) slit lamp photograph (oblique illumination) showing fluid in retro-IOL area and precipitated debris (arrow); (b) slit lamp photograph (retro illumination) showing precipitated debris (arrow); (c) anterior segment optical coherence tomography appearing like banana doubly split—first longitudinally and then transversely

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To conclude, we report the striking ASOCT image of fluid with fluffy debris giving the appearance of half and half capsular bag distension syndrome.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Das K. Delayed capsular bag distension syndrome. Oman J Ophthalmol 2010;3:155–6.  Back to cited text no. 1
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