Journal Article10.1016/S0886-3350(13)80004-1
Capsule contraction syndrome
387
TL;DR: Neodymium:YAG laser radial anterior relaxing capsulotomies done within three weeks of cataract surgery reduce the sphincter effect of the contraction and lessen the chronic zonular‐traction‐related complications of the condition, which may include spontaneous IOL dislocation and retinal detachment.
read more
Abstract: Capsule contraction syndrome is an exaggerated reduction in anterior capsulectomy and capsular bag diameter after extracapsular cataract surgery. While rarely seen with can-opener-style capsulectomies with anterior radial capsular tears, it is relatively frequent with capsulorhexis. It is particularly common in patients with pseudoexfoliation and in eyes with a history of moderately severe uveitis. Its effects, which include extreme reduction in the capsulectomy opening, malposition of the opening, reduction in equatorial capsular diameter, and displacement of the IOL, seem more exaggerated in small capsulorhexis openings and in the older patient. Neodymium:YAG laser radial anterior relaxing capsulotomies done within three weeks of cataract surgery reduce the sphincter effect of the contraction and lessen the chronic zonular-traction-related complications of the condition, which may include spontaneous IOL dislocation and retinal detachment.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Late in-the-bag intraocular lens dislocation: incidence, prevention, and management.
TL;DR: Dislocation of an intraocular lens with the capsular bag is a late complication of cataract surgery, reported with increasing frequency in recent years.
292
Phacoemulsification and modern cataract surgery.
Eric J Linebarger,David R. Hardten,David R. Hardten,Gaurav K. Shah,Richard L. Lindstrom,Richard L. Lindstrom +5 more
TL;DR: Improved surgical techniques for removing the anterior lens capsule have decreased the incidence of both intraoperative and postoperative capsular complications, and continual evolution of this technology promises to further improve patient outcomes after cataract surgery.
264
Spontaneous late dislocation of intraocular lens within the capsular bag in pseudoexfoliation patients.
TL;DR: Patients with pseudoexfoliation syndrome may be at risk for delayed spontaneous dislocation of IOL within the capsular bag after uncomplicated cataract surgery, and awareness of this newly recognized long-term complication may justify a reevaluation of surgical considerations forCataract removal in these patients.
259
Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery.
TL;DR: Pseudoexfoliation, retinitis pigmentosa, the status after vitrectomy, and trauma are possible major predisposing factors for in-the-bag IOL dislocation, whereas those for out-of- the-bag dislocation are secondary implantation, surgical complications, and mature cataract.
232
Late in-the-bag spontaneous intraocular lens dislocation: evaluation of 86 consecutive cases.
Don Davis,Jacob W. Brubaker,Ladan Espandar,Jack Stringham,Alan S. Crandall,Liliana Werner,Nick Mamalis +6 more
TL;DR: Patients with any type of IOL are at risk for late in-the-bag dislocation, and Pseudoexfoliation and vitreoretinal surgery were the most common associated conditions in this series.
223
References
Complications of intraocular lenses. A historical and histopathological review
David J. Apple,Nick Mamalis,Katherine Loftfield,Joseph M. Googe,Linda C. Novak,Dolores Kavka-Van Norman,Steven E. Brady,Randall J. Olson +7 more
TL;DR: It is hoped that this review will provide insights into the pathogenesis of IOL complications, enhancing the current success of implant procedures and stimulating further basic and clinical research in this area.
531
Risk Factors for Intraoperative Complications in 1000 Extracapsular Cataract Cases
James P. Guzek,Martin Holm,John B. Cotter,James A. Cameron,Wilfred J. Rademaker,Daniel H. Wissinger,Asbjørn M. Tønjum,Lynn A. Sleeper +7 more
TL;DR: A prospective study of the risk factors in extracapsular surgery was carried out between October 1984 and April 1986 and high myopia, advanced cataract, glaucoma, advanced age, and diabetes mellitus were not found to be risk factors for vitreous loss, zonular breaks, or capsular breaks.
235
Intercapsular cataract surgery with lens epithelial cell removal Part II: Effect on prevention of fibrinous reaction
TL;DR: The results suggest that the fibrinous reaction seen several days after posterior chamber lens implantation may be caused by the proliferation of lens epithelial cells.
39
A short haptic diameter modified J-loop intraocular lens for improved capsular bag performance.
TL;DR: The laboratory and clinical characteristics of a modified J‐loop intraocular lens (IOL) are presented and the relationship of the haptic configuration to the architecture of the capsular bag facilitates easy Capsular bag implantation and consistent IOL centration in eyes with small and moderate capsularbag diameters.
15