Capsular block syndrome: a case report and literature review

Mauricio Vélez, Luis F Velásquez, Sebastián Rojas, Laura Montoya, Katherine Zuluaga, Kepa BalpardaPontifical Bolivarian University, School of Medicine, Medellín, Antioquia, Colombia Purpose: To report the case of a patient who developed late capsular blo...

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Main Authors: Vélez M, Velásquez LF, Rojas S, Montoya L, Zuluaga K, Balparda K
Format: article
Language:EN
Published: Dove Medical Press 2014
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Online Access:https://doaj.org/article/ab4eee323f9b42f4a0b857fbec340c21
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Summary:Mauricio Vélez, Luis F Velásquez, Sebastián Rojas, Laura Montoya, Katherine Zuluaga, Kepa BalpardaPontifical Bolivarian University, School of Medicine, Medellín, Antioquia, Colombia Purpose: To report the case of a patient who developed late capsular block syndrome and to review the current literature regarding this complication of phacoemulsification procedures. Methods: The literature was reviewed to summarize the diagnosis, classification, use of diagnostic aids, and the current treatments for this complication.Results: A 69-year-old patient complained of decreased visual acuity 11 months after undergoing phacoemulsification. She was found to have a secondary myopization. Anterior segment ultrabiomicroscopy confirmed the diagnosis of capsular block syndrome. The patient underwent neodymium-doped yttrium aluminum garnet (Nd:YAG) laser posterior capsulotomy, which resulted in complete resolution of her symptoms.Conclusion: Capsular block syndrome is a fairly rare complication of phacoemulsification procedures that, depending primarily on the timing of its occurrence following surgery, can develop into one of the three following possible clinical scenarios: intraoperatory, early postoperatory, and late postoperatory. In this patient, Nd:YAG laser capsulotomy was shown to be a safe and effective treatment option for this type of complication. Keywords: continuous curvilinear capsulorhexis, phacoemulsification, cataract