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DOI: 10.1055/a-2004-5582
Capsular Bag Distension Syndrome after Uneventful DMEK for Fuchs Corneal Endothelial Dystrophy
Capsular Bag Distension Syndrom nach unkomplizierter DMEK bei Fuchs-Endotheldystrophie
Background
Capsular bag distension syndrome (CBDS), or capsular block syndrome, is a rare complication (< 1%) following cataract surgery with continuous curvilinear capsulorhexis, phacoemulsification, and intraocular lens (IOL) implantation in the capsular bag. It is characterized by accumulation of cloudy fluid between the IOL and the posterior lens capsule. The signs or symptoms can develop in the early or late postoperative period and have been reported even 20 years after cataract surgery [1]. The entrapped fluid leads to poor visual acuity. A myopic refractive shift in 80% of patients and hyperopic shift in 20% of patients have been reported [2]. In some cases, elevation of intraocular pressure (IOP) has been described.
Publikationsverlauf
Eingereicht: 16. Oktober 2022
Angenommen: 28. Dezember 2022
Artikel online veröffentlicht:
25. April 2023
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References
- 1 Kanclerz P, Wang X. Postoperative Capsular Bag Distension Syndrome – Risk Factors and Treatment. Semin Ophthalmol 2019; 34: 409-419 DOI: 10.1080/08820538.2019.1640750.
- 2 Yang MK, Wee WR, Kwon JW. et al. Anterior chamber depth and refractive change in late postoperative capsular bag distension syndrome: a retrospective analysis. PLoS One 2015; 10: e0125895 DOI: 10.1371/journal.pone.0125895.
- 3 Marcovich AL, Tandogan T, Bareket M. et al. Opacification of hydrophilic intraocular lenses associated with vitrectomy and injection of intraocular gas. BMJ Open Ophthalmol 2018; 3: e000157 DOI: 10.1136/bmjophth-2018-000157.