Поздний синдром капсульного блока с гиперметропическим сдвигом. Клинический случай

Abstract

Capsular block syndrome (CBS) is one of complications of modern cataract surgery technique, due to restriction of fluid passage from the capsular bag, which in different terms of postoperative period of cataract phacoemulsification may lead to reduction of both anatomical and functional results of surgery. The treatment of choice of the capsular block syndrome, especially during early postoperative period, is YAG laser dissection of the posterior capsule, which in most cases allows restoring transparency and refraction. In cases like lactocrumenasia (a variant of late CBS) it is not always possible to visualize the posterior capsule and evacuate the contents, therefore, the treatment of choice can be surgical dissection and aspiration of the contents. However, according to the literature, there is a possibility of infection of isolated capsule contents which obliges to correctly and carefully determine the surgical tactics in such cases. This article presents a rare case of late postoperative capsular block syndrome with hyperopic shift in a patient with proliferative diabetic retinopathy and silicone tamponade of the vitreous cavity. Key words: capsular block syndrome; hyperopic shift; cataract phacoemulsification.