2019 - 1 Issue

Case report

Late Postoperative Capsular Bag Distension Syndrome

Marianna Otrošinová ORCID
Jan Novák

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DOI: 10.31348/2019/1/6

Published in Czech and Slovak Ophtalmology: 2019 - 1

Published on website: 20.07.2019

Keywords: capsular bag distension syndrome, capsular block syndrome, CBS, OCT, Pentacam

Summary

Purpose: Capsular bag distension syndrome is to be seen as a relatively rare complication after cataract surgery.

Materials and Methods: We describe our experience of late-onset capsular bag distension syndrome with one case onset 4 years after cataract surgery. Nowadays diagnostic imaging methods were used. The literature was reviewed to summarize the diagnosis, classification, use of diagnostic aids, and the current treatments for the capsular bag distension syndrome. Visual acuity was assessed using the ETDRS (Early Treatment Diabetic Retinopathy Study) chart.

Discussion: A 72-year-old woman presented with decreased visual acuity and blurred vision 4 years after phacoemulsification with continuous curvilinear capsulorhexis (CCC) and in-the-bag IOL implantation. After the slit lamp examination, patient was investigated with Scheimpflug camera (OCULUS Pentacam HR) and anterior segment spectral domain OCT (Optovue, Avanti RTVue XR), which confirmed the diagnosis of capsular block syndrome. Aspiration of the turbid fluid behind the lens and capsular bag lavage resulted in resolution of her symptoms. Aspirated fluid was examined. We have observed no CBS recurrence.

Conclusion: CBS is the relatively rare complication of the standard cataract surgery, which can occur during surgery and in a postoperative period. CBS can be solved successfully after regular diagnosis using modern imaging methods.

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