Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study

Yar Li Tan,1,2 Lakshmanasamudram S Mohanram,1 Seng Ei Ti,1,2 Tin Aung,1&ndash;3 Shamira Perera1,21Singapore National Eye Centre, 2Singapore Eye Research Institute, 3National University of Singapore, Yong Loo Lin School of Medicine, Buona Vista, SingaporeBackground: Anterior segment optical c...

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Autores principales:	Tan YL, Mohanram LS, Ti SE, Aung T, Perera S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fafaa774207a4412b793de5f7a9f8a2e
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spelling	oai:doaj.org-article:fafaa774207a4412b793de5f7a9f8a2e2021-12-02T02:57:42ZImaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study1177-54671177-5483https://doaj.org/article/fafaa774207a4412b793de5f7a9f8a2e2012-09-01T00:00:00Zhttp://www.dovepress.com/imaging-late-capsular-bag-distension-syndrome-an-anterior-segment-opti-a10922https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Yar Li Tan,1,2 Lakshmanasamudram S Mohanram,1 Seng Ei Ti,1,2 Tin Aung,1&ndash;3 Shamira Perera1,21Singapore National Eye Centre, 2Singapore Eye Research Institute, 3National University of Singapore, Yong Loo Lin School of Medicine, Buona Vista, SingaporeBackground: Anterior segment optical coherence tomography (ASOCT) was used to categorize and provide insights into the etiology of capsular bag distension syndrome (CBDS).Methods: A prospective review was undertaken of 10 cases who presented with signs of late CBDS 5&ndash;11 years after uneventful phacoemulsification with in-the-bag posterior chamber intraocular lens implantation.Results: All 10 patients presented with a milky collection within the distended capsular bag without raised intraocular pressure or a shallow anterior chamber. ASOCT was used to confirm the diagnosis in all cases, and a hyperintense signal was seen in the space between the posterior chamber intraocular lens and the posteriorly bowed posterior capsule. The continuous curvilinear capsulorhexis was measured to be between 3.18 mm and 4.70 mm. Three cases had uncorrected visual acuity better than 6/12. Uncomplicated Neodymium-doped Yttrium Aluminium Garnet (Nd:YAG) posterior capsulotomy was performed in eight patients, with no resulting change in the intraocular lens position (measured by ASOCT) or subjective refraction.Conclusion: Our study showed that ASOCT is a useful modality to differentiate this condition clearly from posterior chamber intraocular lens opacification and to investigate its causation. Nd:YAG posterior capsulotomy proved to be a safe and successful treatment for late CBDS with no change in biometric or refractive parameters.Keywords: anterior segment optical coherence tomography, capsular bag distension syndrome, YAG capsulotomyTan YLMohanram LSTi SEAung TPerera SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1455-1458 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Tan YL Mohanram LS Ti SE Aung T Perera S Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
description	Yar Li Tan,1,2 Lakshmanasamudram S Mohanram,1 Seng Ei Ti,1,2 Tin Aung,1&ndash;3 Shamira Perera1,21Singapore National Eye Centre, 2Singapore Eye Research Institute, 3National University of Singapore, Yong Loo Lin School of Medicine, Buona Vista, SingaporeBackground: Anterior segment optical coherence tomography (ASOCT) was used to categorize and provide insights into the etiology of capsular bag distension syndrome (CBDS).Methods: A prospective review was undertaken of 10 cases who presented with signs of late CBDS 5&ndash;11 years after uneventful phacoemulsification with in-the-bag posterior chamber intraocular lens implantation.Results: All 10 patients presented with a milky collection within the distended capsular bag without raised intraocular pressure or a shallow anterior chamber. ASOCT was used to confirm the diagnosis in all cases, and a hyperintense signal was seen in the space between the posterior chamber intraocular lens and the posteriorly bowed posterior capsule. The continuous curvilinear capsulorhexis was measured to be between 3.18 mm and 4.70 mm. Three cases had uncorrected visual acuity better than 6/12. Uncomplicated Neodymium-doped Yttrium Aluminium Garnet (Nd:YAG) posterior capsulotomy was performed in eight patients, with no resulting change in the intraocular lens position (measured by ASOCT) or subjective refraction.Conclusion: Our study showed that ASOCT is a useful modality to differentiate this condition clearly from posterior chamber intraocular lens opacification and to investigate its causation. Nd:YAG posterior capsulotomy proved to be a safe and successful treatment for late CBDS with no change in biometric or refractive parameters.Keywords: anterior segment optical coherence tomography, capsular bag distension syndrome, YAG capsulotomy
format	article
author	Tan YL Mohanram LS Ti SE Aung T Perera S
author_facet	Tan YL Mohanram LS Ti SE Aung T Perera S
author_sort	Tan YL
title	Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
title_short	Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
title_full	Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
title_fullStr	Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
title_full_unstemmed	Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
title_sort	imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/fafaa774207a4412b793de5f7a9f8a2e
work_keys_str_mv	AT tanyl imaginglatecapsularbagdistensionsyndromeananteriorsegmentopticalcoherencetomographystudy AT mohanramls imaginglatecapsularbagdistensionsyndromeananteriorsegmentopticalcoherencetomographystudy AT tise imaginglatecapsularbagdistensionsyndromeananteriorsegmentopticalcoherencetomographystudy AT aungt imaginglatecapsularbagdistensionsyndromeananteriorsegmentopticalcoherencetomographystudy AT pereras imaginglatecapsularbagdistensionsyndromeananteriorsegmentopticalcoherencetomographystudy
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Imaging late capsular bag distension syndrome: an anterior segment optical coherence tomography study

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