A Modified Femtosecond Laser Technique for Anterior Capsule Contraction Syndrome

Overview

Journal J Ophthalmol

Publisher Wiley

Specialty Ophthalmology

Date 2021 Jan 11

PMID 33425382

Citations 1

Authors

Marco Marenco

Pietro Mangiantini

Luca Scuderi

Alessandro Lambiase

Marta Sacchetti

Affiliations

Soon will be listed here.

Abstract

Anterior capsule contraction syndrome (ACCS) is a rare, late complication of cataract surgery, associated with impairment of visual function. In this paper, we describe a new surgical technique to treat ACCS by femtosecond laser procedure. The femtosecond laser was used to perform an anterior capsulotomy with a customized size, in order to avoid IOL damage. After ophthalmic viscosurgical device injection in the anterior chamber, the anterior capsule flap was separated from the IOL surface by gentle hydrodissection. This manoeuvre enabled an easy and safe removal of the fibrotic material by vitreal microscissors. Our technique allowed a complete removal of the fibrotic material and opening of the capsule, with immediate complete visual acuity recovery without IOL damage. In conclusion, femtosecond laser appears to be safe and effective for treatment of ACCS with long-lasting efficacy.

Citing Articles

Exploring anterion capsular contraction syndrome in cataract surgery: insights into pathogenesis, clinical course, influencing factors, and intervention approaches.

Lin X, Ma D, Yang J Front Med (Lausanne). 2024; 11:1366576.

PMID: 38439904 PMC: 10911763. DOI: 10.3389/fmed.2024.1366576.

References

Zambarakji H, Rauz S, Reynolds A, Joshi N, Simcock P, Kinnear P . Capsulorhexis phymosis following uncomplicated phacoemulsification surgery. Eye (Lond). 1997; 11 ( Pt 5):635-8. DOI: 10.1038/eye.1997.168. View

Reyntjens B, Tassignon M, Van Marck E . Capsular peeling in anterior capsule contraction syndrome: surgical approach and histopathological aspects. J Cataract Refract Surg. 2004; 30(4):908-12. DOI: 10.1016/j.jcrs.2003.08.034. View

Salzmann J, Khaw P, Laidlaw A . Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery. Am J Ophthalmol. 2000; 129(2):253-4. DOI: 10.1016/s0002-9394(99)00319-0. View

Ibarz M, Rodriguez-Prats J, Tana P . Femtosecond laser-assisted capsulotomy for treatment of bilateral anterior capsule contraction. J Cataract Refract Surg. 2017; 43(2):289-292. DOI: 10.1016/j.jcrs.2016.12.013. View

Hayashi H, Hayashi K, Nakao F, Hayashi F . Anterior capsule contraction and intraocular lens dislocation in eyes with pseudoexfoliation syndrome. Br J Ophthalmol. 1999; 82(12):1429-32. PMC: 1722461. DOI: 10.1136/bjo.82.12.1429. View

Hansen S, Crandall A, Olson R . Progressive constriction of the anterior capsular opening following intact capsulorhexis. J Cataract Refract Surg. 1993; 19(1):77-82. DOI: 10.1016/s0886-3350(13)80287-8. View

Kurosaka D, Ando I, Kato K, Oshima T, Kurosaka H, Yoshino M . Fibrous membrane formation at the capsular margin in capsule contraction syndrome. J Cataract Refract Surg. 1999; 25(7):930-5. DOI: 10.1016/s0886-3350(99)00078-4. View

Schweitzer C, Tellouck L, Gaboriau T, Leger F . Anterior capsule contraction treated by femtosecond laser capsulotomy. J Refract Surg. 2015; 31(3):202-4. DOI: 10.3928/1081597X-20150224-04. View

Davison J . Capsule contraction syndrome. J Cataract Refract Surg. 1993; 19(5):582-9. DOI: 10.1016/s0886-3350(13)80004-1. View

10.

Caporossi A, Casprini F, Tosi G, Balestrazzi A, Stumpo M, Toti P . Histology of anterior capsule fibrosis following phacoemulsification. J Cataract Refract Surg. 1998; 24(10):1343-6. DOI: 10.1016/s0886-3350(98)80226-5. View

11.

Deokule S, Mukherjee S, Chew C . Neodymium:YAG laser anterior capsulotomy for capsular contraction syndrome. Ophthalmic Surg Lasers Imaging. 2006; 37(2):99-105. View

12.

Kim E, Kim M, Lee S, Han S, Yang H, Hyon J . Postoperative occlusion of visual axis with fibrous membrane in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome: a case report. BMC Ophthalmol. 2016; 16(1):213. PMC: 5142273. DOI: 10.1186/s12886-016-0394-y. View

13.

Gerten G, Schultz M, Oberheide U . Treating capsule contraction syndrome with a femtosecond laser. J Cataract Refract Surg. 2016; 42(9):1255-1261. DOI: 10.1016/j.jcrs.2016.07.020. View

14.

Michael K, OColmain U, Vallance J, Cormack T . Capsule contraction syndrome with haptic deformation and flexion. J Cataract Refract Surg. 2010; 36(4):686-9. DOI: 10.1016/j.jcrs.2009.09.042. View

15.

Zinkernagel M, Papazoglou A, Patel C . Bimanual anterior segment revision surgery for anterior capsule contraction syndrome associated with anterior flexion of intraocular lens haptics. Eye (Lond). 2013; 27(12):1388-90. PMC: 3869517. DOI: 10.1038/eye.2013.206. View

16.

Spang K, Rohrbach J, Weidle E . Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation. Am J Ophthalmol. 1999; 127(3):343-5. DOI: 10.1016/s0002-9394(98)00323-7. View

17.

Werner L, Pandey S, Apple D, Escobar-Gomez M, McLendon L, Macky T . Anterior capsule opacification: correlation of pathologic findings with clinical sequelae. Ophthalmology. 2001; 108(9):1675-81. DOI: 10.1016/s0161-6420(01)00674-1. View

18.

Tuft S, Talks S . Delayed dislocation of foldable plate-haptic silicone lenses after Nd:YAG laser anterior capsulotomy. Am J Ophthalmol. 1998; 126(4):586-8. DOI: 10.1016/s0002-9394(98)00124-x. View

19.

Toto L, Viggiano P, Vecchiarino L, Evangelista F, Borrelli E, Mastropasqua L . Anterior capsule contraction syndrome: a successful multimodal therapeutic approach. Int J Ophthalmol. 2019; 12(8):1356-1358. PMC: 6694047. DOI: 10.18240/ijo.2019.08.20. View

20.

Yeh P, Goins K, Lai W . Managing anterior capsule contraction by mechanical widening with vitrector-cut capsulotomy. J Cataract Refract Surg. 2002; 28(2):217-20. DOI: 10.1016/s0886-3350(01)01031-8. View