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A case series of anterior capsule phimosis following cataract surgery

Poster Details

First Author: A.Shinton UK

Co Author(s):    M. Ramchandani                    

Abstract Details

Purpose:

Anterior capsule phimosis following cataract surgery can result in reduced visual acuity, reduced contrast sensitivity, and intraocular lens malposition. By reviewing a series of affected patients, we aim to shed further light on this uncommon postoperative complication.

Setting:

The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, United Kingdom.

Methods:

We identified a series of patients who attended the ophthalmology department with anterior capsule phimosis. Their case notes were reviewed. Information extracted included previous ophthalmic history, risk factors for anterior capsule phimosis, and the management strategy employed. Anterior segment photographs were obtained in selected cases.

Results:

Seven patients who developed anterior capsule phimosis following cataract surgery were identified. Six of the cases were female and one was male. Mean age was 77 years (range 55 - 93). Two patients had a previous history of bilateral uveitis. Three patients had narrow iridocorneal angles and short axial lengths. The remaining two patients did not have a known risk factor for anterior capsule phimosis. In one case, anterior capsule phimosis was associated with intraocular lens decentration. Five patients were successfully managed with Nd:YAG laser anterior capsulotomy. One patient required surgical anterior capsulectomy.

Conclusions:

The majority of our cases had a known risk factor for anterior capsule phimosis. Many patients with seemingly similar characteristics, however, do not develop this complication following cataract surgery. Therefore it may be difficult to identify which patients would benefit from preventative strategies such as postoperative topical non-steroidal anti-inflammatory drugs (NSAIDs) or early anterior capsule relaxing incisions. Anterior capsule phimosis can be managed effectively using either laser or surgical techniques.

Financial Disclosure:

NONE

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