Capsule block syndrome – A case series

Author:

Paritekar Prajakta1

Affiliation:

1. Department of Cataract, RJ Sankara Eye Hospital, Panvel, Maharashtra, India

Abstract

The Purpose of the study was to describe 4 cases of Capsule Block Syndrome. The cases described in this study presented to a Tertiary Eye Care Hospital OPD for undergoing cataract surgery. It was a Prospective Case Series. Four patients who underwent uneventful cataract surgery and developed Capsule Block Syndrome (CBS) were observed for 1 month post operative period. Their post operative unaided and best corrected vision, slit lamp examination findings were noted. We observed that all 4 patients showed Early non cellular CBS, all 4 patients were hyperopic and were implanted with Indian Hydrophobic IOL in the bag. This observation was unusual from the cases described in the literature. In management plan, two patients required ND YAG Capsulotomy whereas 2 resolved spontaneously. We concluded that CBS is a rare but known complication of cataract surgery. It can be avoided by doing thorough OVD wash after IOL implantation. Some cases may improve spontaneously while some may require intervention like ND YAG posterior capsulotomy to relieve the distension.

Publisher

Medknow

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