Laser treatment of the anterior capsulorhexis shrinkage syndrome in patients with pseudophakia
1 Silesian Eye Treatment Centre, Zory, Poland.
2 University Clinical Center prof. K. Gibinski of the Silesian Medical University, Katowice, Poland.
Case Study
World Journal of Advanced Research and Reviews, 2021, 09(01), 250-255
Article DOI: 10.30574/wjarr.2021.9.1.0027
Publication history:
Received on 15 January 2021; revised on 22 January 2021; accepted on 24 January 2021
Abstract:
The article describes results of laser treatment applied in seven patients (eleven eyes) due to capsulorhexis margin shrinkage and the subsequent wrinkling of the anterior capsule in eyes with pseudophakia. Almost total loss of the anterior capsulorhexis aperture caused a significant decrease in visual acuity, to the level of counting fingers right in front of the eyes in three patients (four eyes). The laser cut of the anterior capsulorhexis margin using the Nd-Yag laser led to an immediate increase in the capsulorhexis size in each case. Visual acuity improved in the eyes with an extreme decrease in the capsulorhexis size. In the remaining eyes, where the decrease of the capsulorhexis size did not lead to the appearance of anterior capsule wrinkling, visual acuity did not change. The progressive decrease in the capsulorhexis size, accompanied by the appearance of white tissue on its margin, containing shrinking elements, constitutes an indication for the implementation of laser therapy.
Keywords:
Anterior capsule contraction syndrome (ACCS); Posterior capsular opacification; Phimosis capsule; Pseudophakia; Cataract
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Copyright © 2021 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0