Abstract
Two cases of late capsular block syndrome are reported. They were observed nine and five years after facoemulsification, in one eye with pseudoexfoliation syndrome and the other operated on for glaucoma with a functioning bleb. There was a large amount of milky material behind the intraocular lens, and reduction of the visual acuity (four lines of the Snellen chart in both cases). The condition was promptly resolved through minimal YAG laser posterior capsulotomy. Capsular block syndrome – report of two [...]
Highlights
Capsular block syndrome occurs in the intra- or postoperative (PO) period; the PO form can be classified as early or late
The seven cases described by Davison(1) were not observed on the first PO day, only when they returned for a follow-up visit two weeks later; c) Late postoperative capsular block syndrome (CBS): tends to be a chronic process which manifests on average 3.8 years after surgery
This classification, proposed by Miyake et al(2) in 1998, was based on a review of 7 eyes with core dislocation after hydrodissection described by Hashimoto et al ; (17) 13 early cases reported by Davison(1) and Holtz(10); and 44 late cases described by Ota et al(18), Eifrig(19) and, most importantly, by Miyake et al(5)
Summary
Capsular block syndrome occurs in the intra- or postoperative (PO) period; the PO form can be classified as early or late.
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