Late capsular block syndrome cases misdiagnosed as different ocular pathologies

Key Findings & Data:Deeply localized and opacified posterior capsule may be difficult to distinguish. 4 CBS cases who were misdiagnosed earlier are reported here.

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Conclusion & Impact:Nd:YAG posterior capsulotomy was performed in all cases and their visual acuities improved to 8/10 in one case and 10/10 in three cases.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Capsular Block Syndrome (CBS) occurs as a result of fluid accumulation behind the intraocular lens (IOL). It may cause visual loss if liquid becomes turbid or posterior capsule opacification develops. Some cases may be misdiagnosed by ophthal- mologists. The whitish liquid may be misinterpreted as vitritis or IOL opacification. Deeply localized and opacified posterior capsule may be difficult to distinguish. 4 CBS cases who were misdiagnosed earlier are reported here. Three female, 1 male CBS cases suffering visual loss 2-4 years after Phaco surgery were falsely diagnosed and referred to our department . Age range was 40-72. Visual acuities were between 5/100 to 3/10. Nd:YAG posterior capsulotomy was performed in all cases and their visual acuities improved to 8/10 in one case and 10/10 in three cases.

Özet

Kapsüler Blok Sendromu (KBS) göz içi lens (GİL) arkasında sıvı birikimine bağlıdır. Sıvının zamanla bulanıklaşması, ya da arka kapsülün kesifleşmesiyle geç dönemde görme azalmasına neden olur. Bazı olgulara göz hekimlerince yanlış tanı konabilmektedir. Beyaz sıvı vitritis ya da GİL opaklaşması sanılabilmektedir. Kesif arka kapsülün derin yerleşimli oluşu, görülmesini güçleştirebilir. Burada daha önce yanlış tanı konan 4 KBS olgusu sunulmaktadır. Fako cerrahisi sonrası 2-4. yılda görme azalması yakınması gelişen 3’ü kadın biri erkek olgu farklı tanılarla kliniğimize gönderilmişti. Yaşları 40 ile 72 arasındaydı. Görmeleri 5/100-3/10 arasındaydı. Olguların tümüne Nd:YAG arka kapsülotomi yapıldı ve görme keskinlikleri bir olguda 8/10’a üçünde 10/10’a çıktı.

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Cite This Article

YÜKSEL, B., AYDIN, D., ONAT, S. (2013). Late capsular block syndrome cases misdiagnosed as different ocular pathologies. Glokom Katarakt, Cilt: 8 - Sayı: 2, 134–136. https://ajindex.com/articles/214841

References (8)

Holtz SJ. Postoperative capsular bag distention. J Cataract Refract Surg 1992;18:310-7
Jain R, Grewal D, Gupta R, et al. Scheimpflug imaging in late capsular bag distention syndrome after phacoemulsification. Am J Ophthalmol 2006;142:1083-5
Miyake K, Ota I, Ichihashi S, et al. New classification of cap- sular block syndrome. J Cataract Refract Surg 1998;24:1230-4
Sugiura T, Miyauchi Si, Eguchi S, et al. Analysis of liquid accumulated in the distended capsular bag in early postop- erative capsular block syndrome. J Cataract Refract Surg 2000;26:420-5
Erdurmuş M, Karadağ R, Aydın B, ve ark. Kapsüler blok sen- dromu: Olgu sunumu ve literatürün gözden geçirilmesi. Glo- Kat 2008;3:261-4
Miyake K, Ota I, Miyake S, et al. Liquefied aftercataract: A complication of continuous curvilinear capsulorhexis and in- traocular lens Implantation in the lens capsule. Am J Oph- thalmol 1998;125:429-35
Landa G, Hoffman P, Pollack A, et al. Outcome of posterior capsulotomy in late capsular block syndrome with poste- rior capsular opasification. Clin Experiment Ophthalmol 2006;34:866-9
Pinarci EY, Bayar SA, Sizmaz S, et al. Late capsular block syndrome presenting with posterior capsule opacification. J Cataract Refract Surg 2012;38:672-6.