Cargando…

Two cases of very late-onset capsular bag distension syndrome

PURPOSE: We present two cases of late-onset capsular bag distension syndrome (CBDS). OBSERVATIONS: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, sev...

Descripción completa

Detalles Bibliográficos
Autores principales: Galvin, Justin C., Berdoukas, Paula, Fung, Adrian T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956720/
https://www.ncbi.nlm.nih.gov/pubmed/29780949
http://dx.doi.org/10.1016/j.ajoc.2018.03.019
_version_ 1783323933847584768
author Galvin, Justin C.
Berdoukas, Paula
Fung, Adrian T.
author_facet Galvin, Justin C.
Berdoukas, Paula
Fung, Adrian T.
author_sort Galvin, Justin C.
collection PubMed
description PURPOSE: We present two cases of late-onset capsular bag distension syndrome (CBDS). OBSERVATIONS: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, seven and 13 years prior. Slit-lamp biomicroscopy and anterior segment optical coherence tomography demonstrated milky fluid between the intraocular lens and posterior capsules, consistent with late-onset capsular bag distension syndrome. A 25-gauge pars plana vitrectomy surgery was performed on each patient. This turbid retrolental fluid was successfully aspirated with posterior capsulotomy using 25-gauge pars plana vitrectomy surgery. CONCLUSIONS AND IMPORTANCE: Late-onset capsular bag distension syndrome may occur up to 13 years following cataract surgery; the longest reported duration of onset. Anterior segment optical coherence tomography is useful in aiding diagnosis. Management with vitrectomy surgery has the advantages of complete clearance of the turbid fluid and microbial and pathological testing.
format Online
Article
Text
id pubmed-5956720
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-59567202018-05-18 Two cases of very late-onset capsular bag distension syndrome Galvin, Justin C. Berdoukas, Paula Fung, Adrian T. Am J Ophthalmol Case Rep Case report PURPOSE: We present two cases of late-onset capsular bag distension syndrome (CBDS). OBSERVATIONS: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, seven and 13 years prior. Slit-lamp biomicroscopy and anterior segment optical coherence tomography demonstrated milky fluid between the intraocular lens and posterior capsules, consistent with late-onset capsular bag distension syndrome. A 25-gauge pars plana vitrectomy surgery was performed on each patient. This turbid retrolental fluid was successfully aspirated with posterior capsulotomy using 25-gauge pars plana vitrectomy surgery. CONCLUSIONS AND IMPORTANCE: Late-onset capsular bag distension syndrome may occur up to 13 years following cataract surgery; the longest reported duration of onset. Anterior segment optical coherence tomography is useful in aiding diagnosis. Management with vitrectomy surgery has the advantages of complete clearance of the turbid fluid and microbial and pathological testing. Elsevier 2018-04-03 /pmc/articles/PMC5956720/ /pubmed/29780949 http://dx.doi.org/10.1016/j.ajoc.2018.03.019 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Galvin, Justin C.
Berdoukas, Paula
Fung, Adrian T.
Two cases of very late-onset capsular bag distension syndrome
title Two cases of very late-onset capsular bag distension syndrome
title_full Two cases of very late-onset capsular bag distension syndrome
title_fullStr Two cases of very late-onset capsular bag distension syndrome
title_full_unstemmed Two cases of very late-onset capsular bag distension syndrome
title_short Two cases of very late-onset capsular bag distension syndrome
title_sort two cases of very late-onset capsular bag distension syndrome
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956720/
https://www.ncbi.nlm.nih.gov/pubmed/29780949
http://dx.doi.org/10.1016/j.ajoc.2018.03.019
work_keys_str_mv AT galvinjustinc twocasesofverylateonsetcapsularbagdistensionsyndrome
AT berdoukaspaula twocasesofverylateonsetcapsularbagdistensionsyndrome
AT fungadriant twocasesofverylateonsetcapsularbagdistensionsyndrome