Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report

Purpose: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. Case Report: A 68-year-old woman with a history of uncharacterized bilateral...

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Main Authors: Jocelyn Lam, Bradley Sifrig, Hoon Jung
Format: Article
Language:English
Published: Karger Publishers 2018-02-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/486925
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author Jocelyn Lam
Bradley Sifrig
Hoon Jung
author_facet Jocelyn Lam
Bradley Sifrig
Hoon Jung
author_sort Jocelyn Lam
collection DOAJ
description Purpose: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. Case Report: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus. Our patient underwent 2 sessions of Nd:YAG anterior capsulotomy with limited success. Limited anterior vitrectomy was then performed without success due to densely adherent capsular tissue to the anterior surface of the IOL and additional secondary IOL dislocation. She ultimately underwent pars plana vitrectomy, removal of the capsular bag, and IOL exchange with a scleral fixated IOL. Conclusion: Rapid and severe anterior capsular contraction following cataract surgery is rare but appears to be associated with rod-cone dystrophy.
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spelling doaj.art-e46b5fe1af0c4b638c456134798714a62022-12-22T03:20:12ZengKarger PublishersCase Reports in Ophthalmology1663-26992018-02-019115515910.1159/000486925486925Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case ReportJocelyn LamBradley SifrigHoon JungPurpose: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. Case Report: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus. Our patient underwent 2 sessions of Nd:YAG anterior capsulotomy with limited success. Limited anterior vitrectomy was then performed without success due to densely adherent capsular tissue to the anterior surface of the IOL and additional secondary IOL dislocation. She ultimately underwent pars plana vitrectomy, removal of the capsular bag, and IOL exchange with a scleral fixated IOL. Conclusion: Rapid and severe anterior capsular contraction following cataract surgery is rare but appears to be associated with rod-cone dystrophy.https://www.karger.com/Article/FullText/486925Anterior capsular phimosisCataract surgeryIntraocular lens dislocationRod-cone dystrophy
spellingShingle Jocelyn Lam
Bradley Sifrig
Hoon Jung
Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
Case Reports in Ophthalmology
Anterior capsular phimosis
Cataract surgery
Intraocular lens dislocation
Rod-cone dystrophy
title Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_full Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_fullStr Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_full_unstemmed Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_short Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_sort rapid capsular contraction with secondary intraocular lens dislocation associated with unspecified rod cone dystrophy a case report
topic Anterior capsular phimosis
Cataract surgery
Intraocular lens dislocation
Rod-cone dystrophy
url https://www.karger.com/Article/FullText/486925
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AT hoonjung rapidcapsularcontractionwithsecondaryintraocularlensdislocationassociatedwithunspecifiedrodconedystrophyacasereport