Geç Gelişen Kapsül Kontraksiyon Sendromunun Nadir Görünümü

Objective & Hypothesis:We describe two cases have unusual features of capsule contraction syndrome who were successfully treated with surgical procedure and Nd-YAG laser capsulotomy.

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Key Findings & Data:The first case was 65 years old man who developed CCS without any risk factors, after 4 years later followed uncomplicated phacoemulsification surgery.

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Conclusion & Impact:Surgical procedures and Nd-YAG laser are seen to be effective treatmet modalities for CCS and anterior capsular opacification.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

We describe two cases have unusual features of capsule contraction syndrome who were successfully treated with surgical procedure and Nd-YAG laser capsulotomy. The first case was 65 years old man who developed CCS without any risk factors, after 4 years later followed uncomplicated phacoemulsification surgery. He treated with extraction of intraocular lense (IOL) combined with complete capsulectomy, anterior vitrectomy and anterior chamber IOL implantation. The second case was 8 years old boy had operated for cortical cataract and ectopia lentis. Anterior capsular contraction was detected in patient one year after the surgery, combined with peripheral fibrotic thickenning, reduction of total equatorial diameter of capsular bag, banding of haptics over the optic and banding over each other both ends of capsular tension ring without posterior capsular opacification. The first case, visual acuity (VA) was improved from 20/200 to 20/25 at the end of firsth month without any complication. The second case who treated with Nd-YAG laser anterior capsulotomy, VA was improved from 20/200 to 20/20 after the first day. Surgical procedures and Nd-YAG laser are seen to be effective treatmet modalities for CCS and anterior capsular opacification.

Özet

Kapsül kontraksiyon sendromunun alışılmadık özelliklerine sahip, cerrahi prosedür ve Nd-YAG lazer kapsülotomi ile başarılı bir şekilde tedavi edilmiş iki olgunun sunumu. İlk olgu, komplikasyonsuz katarakt cerrahisini takiben 4 yıl sonra kapsül kontraksiyon sendromu gelişen ve herhangi bir risk faktörü olmayan 65 yaşında erkek hasta. Olguya göz içi lens ekstraksiyonuyla beraber total kapsülektomi, ön vitrektomi ve ön kamaya göz içi lens implantasyonu yapıldı. İkinci olgu, kortikal katarakt ve lens ektopisi nedeni ile opere edilen 8 yaşında erkek çocukdu. Olguda cerrahi tedaviden bir yıl sonra ön kapsül kontraksiyonu ile beraber ön kapsül kenarında fibrotik kalınlaşma, kapsüler kese ekvatoryal çap mesafesinde azalma, göz içi lens haptiklerinin ve kapsül germe halkasının her iki uç kısmının arka kapsül kesafeti gelişmeden lens optiği üzerine bağlandığı gözlendi. İlk olguda birinci ay sonunda herhangi bir komplikasyon olmadan görme keskinliği 20/200'den 20/25'e yükseldi. Nd-YAG lazer ön kapsülotomi ile tedavi edilen ikinci olguda görme keskinliği bir gün sonra 20/200'den 20/20'ye yükseldi. Cerrahi yöntemler ve Nd-YAG lazer, kapsül kontraksiyon sendromu ve ön kapsüler kesafet için etkili tedavi yöntemleri olarak görülmektedir.

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Cite This Article

KOÇAK, A. G. A., ÖZCAN, P. Y., KÖKLÜ, G. (2014). Geç Gelişen Kapsül Kontraksiyon Sendromunun Nadir Görünümü. Glokom Katarakt, Cilt: 9 - Sayı: 3, 210–214. https://ajindex.com/articles/204960

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