Capsular Contraction Syndrome.
Published 2025 - 43rd Congress of the ESCRS
Reference: PPE.09 | Type: ESONT Abstract | DOI: 10.82333/878j-1e17
Authors: Patricia Gonzalez Rodriguez, Cristina Lopez Caballero* 1 , Ester Villar Arrondo 1 , José Maria Sánchez Pina 1
1CLINICA REMENTERIA,MADRID,Spain
Purpose
-To evaluate the different causes and treatments of capsular contraction in patients after uncomplicated cataract surgery.
Setting
CLINICA REMENTERIA, MADRID.
Methods
Capsular contraction syndrome is described as a centripetal constriction and fibrosis of the anterior lens capsule after cataract surgery.
It can cause pseudophacodonesis, decreased CV and loss of VA if it affects the visual axis.
Risk factors for its appearance are the performance of a small capsulorhesis, zonular weakness, pseudoexfoliative syndrome, severe myopia and diabetes.
Three cases of Capsular contraction syndrome are presented. The first and second cases correspond to a female patient with severe myopia and the third case belongs to a female patient with pseudoexfoliative syndrome, who present significant capsulophimosis after cataract surgery.
Results
The first case is a 61-year-old patient with high myopia who, six months after surgery, presented AO capsulophimosis. This was resolved with Nd:Yag laser capsulotomy to break the fibrous ring and increase the diameter of the anterior capsular opening. The process was stable after 3 months.
The second case was an 81-year-old woman with pseudoexfoliative syndrome who, after surgery, developed zonular weakness and implantation of a capsular distension ring. After 8 months, she presented 360° capsulophimosis and, after a failed laser treatment, a surgical reintervention was required to release the fibrous tractions, remaining stable two years later.
Conclusions