A Case Of Late Capsular Block Syndrome (Capsular Distension Syndrome)

To present a case of late capsular block syndrome presented 2 years after uneventful cataract surgery

Case presented at outpatient clinic of Alexandria Ophthalmology Hospital and the operation performed under local sedation at the operating room, Alexandria ophthalmology hospital, Alexandria, Egypt.

A 67-year-old male presented with diminution of vision in his left eye occured months after uneventful cataract surgery. On examination his right eye has visual acuity of 6/24 with presence of nuclear cataract. His left eye visual acuity was 6/60. The left eye was pseudophakic with posterior chamber IOL in capsular bag with presence of whitish milky material filling the lower half of the capsular bag between the IOL and the posterior capsule obscuring part of the pupillary area, the cornea was clear and the anterior chamber shows no cells or flare, IOP was 18 mm Hg. Combined A and B-Scan ultrasound of the posterior segment was unremarkable.

sample was obtained from milky material intaoperatively and sent to the laboratory for culture. The treatment was completed with irrigation aspiration.

The culture was positive for propionibacterium acne. Postoperative care was done as usual similar to cataract surgery.

2^nd day postoperatively media was clear vision improved to 6/12 and patient was satisfied. We followed up the pateinet for 6 month, no postoperative complications detected.

Late capsular block syndrome is a rare complications that may result in drop of vision months or even years after uneventful cataract surgery,

P. acne may be associated with the condition however it is usually not associated with inflammation or an infectious process.