Objective To study the clinical management methods and their effects on capsular contraction syndrome. Methods This was a retrospective study. Thirty-one patients (31 eyes) with capsular contraction syndrome were treated by Nd∶YAG laser or surgery. Twenty-two eyes were treated by Nd∶YAG laser only including 17 eyes that underwent 3 incisions and 5 eyes that underwent 2 incisions at first but had 4 incisions later because the initial results were not ideal. Nine eyes were treated by surgery. Visual acuity was tested and slit-lamp was used to observe the size of the transparent area of the capsularhexis hole, the condition of the anterior and posterior capsules, and the intraocular lenses (IOLs) position postoperatively. Complications were also noted postoperatively and whether or not there were subjective symptoms such as glare or monocular diplopia. Patients were followed up for 3-6 months. Results Uncorrected visual acuity and best corrected visual acuity improved postoperatively. Glare or monocular diplopia disappeared postoperatively. The capsular contraction was relieved in the surgically treated eyes. The sizes of the transparent zones of the capsularhexis holes were bigger. IOLs stayed centrally and stable. The main postoperative complications were high intraocular pressure and slight iritis. Conclusion Both Nd∶YAG laser treatment and surgery for capsular contraction syndrome are effective, economical and safe.
Michael K, O′Colmain U, Vallance JH, et al. Capsular contraction syndrome with haptic deformation and flexion. J Cataract Refract Surg,2010,36:686-689.
[3]
Altinas AG, Dal D, Simsek S. Significant intraocular lens folding due to severe capsular contraction. Jpn J Ophthalmol,2008,52:134-136.
Hayashi k, Yoshida M, Hirata A, et al. Anterior capsule relaxing incision with neodymium: YAG laser for patients at high-risk for anterior capsule contraction. J Cataract Refract Surg,2011,37:97-103.
[8]
Hayashi k, Yoshida M, Nakao F, et al. Prevention of anterior capsule contraction by anterior capsule relaxing incision with Neodymium: Yttrium-Aluminum-Garret laser. Am J Ophthalmol,2008,146:23-30.
[9]
Yeh PC, Goins KM, Lai WW. Managing anterior capsule contraction by mechanical widening with vitrector-cut capsulotomy. J Cataract Refract Surg,2002,28:217-220.