Impaired visual function in eyes implanted with acrylic intraocular lens due to contraction of anterior capsule Makiko Miyamoto 1 , Kazuhiro Shimizu 2 , Yuka Sou 1 , Tomoko Iida 1 , Eisuke Ishizaki 2 , Tsunehiko Ikeda 2 1Dep of Ophthalmol,Hirakata City Hosp 2Dep of Ophthalmol,Osaka Med Coll pp.1905-1909
Published Date 2010/11/15
DOI https://doi.org/10.11477/mf.1410103471
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Abstract. Purpose:To report 2 eyes that developed contraction of anterior capsule after insertion of single-piece intraocular lens(IOL). Cases and Findings:Two females,aged 67 and 73 years respectively,received cataract surgery with implantation of acrylic IOL. Case 1 received 3-piece IOL in the right eye and single-piece IOL in the left. Lens zonules were fragile in both eyes. Case 2 received single-piece IOL in both eyes. Case 1 developed contraction of anterior capsule in the left eye 5 months after surgery. Occlusion of capsule opening was relieved by Nd:YAG laser. Case 2 developed contraction of anterior capsule in the left eye with protrusion of upper haptic into the pupillary area 2 months after surgery. Visual acuity was restored by repositioning of IOL. Conclusion:These cases illustrate that anterior capsule may contract in pseudophakic eyes,particularly in those with fragile zonules. This possibility has to be kept in mind in the selection of IOL and surgical approach.

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