Two cases of very late-onset capsular bag distension syndrome
Purpose: We present two cases of late-onset capsular bag distension syndrome (CBDS). Observations: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, sev...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993618300240 |
| _version_ | 1819065645379092480 |
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| author | Justin C. Galvin Paula Berdoukas Adrian T. Fung |
| author_facet | Justin C. Galvin Paula Berdoukas Adrian T. Fung |
| author_sort | Justin C. Galvin |
| collection | DOAJ |
| description | Purpose: We present two cases of late-onset capsular bag distension syndrome (CBDS). Observations: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, seven and 13 years prior.Slit-lamp biomicroscopy and anterior segment optical coherence tomography demonstrated milky fluid between the intraocular lens and posterior capsules, consistent with late-onset capsular bag distension syndrome. A 25-gauge pars plana vitrectomy surgery was performed on each patient.This turbid retrolental fluid was successfully aspirated with posterior capsulotomy using 25-gauge pars plana vitrectomy surgery. Conclusions and importance: Late-onset capsular bag distension syndrome may occur up to 13 years following cataract surgery; the longest reported duration of onset. Anterior segment optical coherence tomography is useful in aiding diagnosis. Management with vitrectomy surgery has the advantages of complete clearance of the turbid fluid and microbial and pathological testing. Keywords: Bag, Capsular, Distension, Late, Milky, Vitrectomy |
| first_indexed | 2024-12-21T15:49:45Z |
| format | Article |
| id | doaj.art-83de11a5b00f452c8e10b83bc8f5ca6d |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-21T15:49:45Z |
| publishDate | 2018-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-83de11a5b00f452c8e10b83bc8f5ca6d2022-12-21T18:58:15ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-06-0110268270Two cases of very late-onset capsular bag distension syndromeJustin C. Galvin0Paula Berdoukas1Adrian T. Fung275 Pigdons Road, Deakin University, Geelong, 3216, Victoria, Australia2 Middle Street, Focus Eye Centre, Kingsford, 2032, Sydney, NSW AustraliaBalaclava Road, Faculty of Medicine and Health Sciences, Macquarie University, North Ryde, 2109, NSW, Sydney, Australia; 8 Macquarie Street, Save Sight Institute, University of Sydney, 2000, Sydney, NSW, Australia; Hawkesbury Rd & Darcy Road, Westmead Hospital, Westmead, 2145, Sydney, NSW, Australia; Corresponding author. Retina & Macula Specialists, 1A/12 Central Road Miranda, NSW 2228, Australia.Purpose: We present two cases of late-onset capsular bag distension syndrome (CBDS). Observations: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, seven and 13 years prior.Slit-lamp biomicroscopy and anterior segment optical coherence tomography demonstrated milky fluid between the intraocular lens and posterior capsules, consistent with late-onset capsular bag distension syndrome. A 25-gauge pars plana vitrectomy surgery was performed on each patient.This turbid retrolental fluid was successfully aspirated with posterior capsulotomy using 25-gauge pars plana vitrectomy surgery. Conclusions and importance: Late-onset capsular bag distension syndrome may occur up to 13 years following cataract surgery; the longest reported duration of onset. Anterior segment optical coherence tomography is useful in aiding diagnosis. Management with vitrectomy surgery has the advantages of complete clearance of the turbid fluid and microbial and pathological testing. Keywords: Bag, Capsular, Distension, Late, Milky, Vitrectomyhttp://www.sciencedirect.com/science/article/pii/S2451993618300240 |
| spellingShingle | Justin C. Galvin Paula Berdoukas Adrian T. Fung Two cases of very late-onset capsular bag distension syndrome American Journal of Ophthalmology Case Reports |
| title | Two cases of very late-onset capsular bag distension syndrome |
| title_full | Two cases of very late-onset capsular bag distension syndrome |
| title_fullStr | Two cases of very late-onset capsular bag distension syndrome |
| title_full_unstemmed | Two cases of very late-onset capsular bag distension syndrome |
| title_short | Two cases of very late-onset capsular bag distension syndrome |
| title_sort | two cases of very late onset capsular bag distension syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2451993618300240 |
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