TJ-CEO
2014 , Vol 9 , Num 3
Unusual Features of Developed Capsule Contraction Syndrome in Long Term Follow up Period
1M.D., Associate Professor, Ulucanlar Training and Research Hospital, Eye Clinic, Ankara/TURKEY2M.D., Yenimahalle State Hospital, Eye Clinic, Ankara/TURKEY
3M.D., Ulucanlar Training and Research Hospital, Eye Clinic, Ankara/TURKEY We describe two cases have unusual features of capsule contraction syndrome who were successfully treated with surgical procedure and Nd-YAG laser capsulotomy. The first case was 65 years old man who developed CCS without any risk factors, after 4 years later followed uncomplicated phacoemulsification surgery. He treated with extraction of intraocular lense (IOL) combined with complete capsulectomy, anterior vitrectomy and anterior chamber IOL implantation. The second case was 8 years old boy had operated for cortical cataract and ectopia lentis. Anterior capsular contraction was detected in patient one year after the surgery, combined with peripheral fibrotic thickenning, reduction of total equatorial diameter of capsular bag, banding of haptics over the optic and banding over each other both ends of capsular tension ring without posterior capsular opacification. The first case, visual acuity (VA) was improved from 20/200 to 20/25 at the end of firsth month without any complication. The second case who treated with Nd-YAG laser anterior capsulotomy, VA was improved from 20/200 to 20/20 after the first day. Surgical procedures and Nd-YAG laser are seen to be effective treatmet modalities for CCS and anterior capsular opacification. Keywords : Capsule contraction, capsular opacification