Bilateral anterior capsular phimosis in an 85-year-old female patient after stand-alone cataract extraction with intraocular lens implantation
- Advances in Ophthalmology & Visual System
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Trung Thanh Bui,<sup>1</sup>
Ericka J Garcia,<sup>2</sup>
Jennifer L
Kim<sup>2</sup>
Abstract
Introduction: Anterior capsular phimosis is a rare complication after cataract extraction
with intraocular lens implantation.
Patient and clinical findings: An 85-year-old female underwent manual phacoemulsification
with toric intraocular lens implantation in the right eye (OD) without any post-operative
complications. Approximately 1.5 weeks later, she had the same procedure in the left eye
(OS) with similar success. At post-operative week 6 OD and week 4 OS, distance visual
acuity without correction was 20/400 OD and hand motion (HM) OS. Anterior segment
examination revealed intraocular lens implants with a significant fibrotic anterior capsule
in both eyes. Posterior segment examination showed pigmentary macular changes in both
eyes that were unchanged from the pre-operative evaluation.
Diagnosis, intervention, and outcomes: The patient was diagnosed with bilateral anterior
capsular phimosis. She underwent Nd:YAG laser capsulotomy in the left eye, then in the
right eye 1 week later. At Nd: YAG laser capsulotomy post-operative day 4 OD and week 2
OS, distance visual acuity without correction was 20/40 OD, OS with best corrected visual
acuity 20/30 OD, OS.
Conclusions: Anterior capsular phimosis can occur in both eyes sooner than 4 weeks after
cataract extraction with intraocular lens implantation in a patient with no risk factors.
Keywords
anterior capsular phimosis, capsular contraction syndrome, cataract surgery, post- operative complication
