Late postoperative capsular block syndrome versus liquefied after-cataract

J Cataract Refract Surg. 2008 Oct;34(10):1799-802. doi: 10.1016/j.jcrs.2008.04.057.

Abstract

We report the case of a 76-year-old Chinese man who had uneventful cataract phacoemulsification and hydrophilic acrylic intraocular lens (IOL) implantation 6 years previously. He presented with decreased vision; a homogeneous milky substance was found between the posterior chamber IOL and the posterior capsule without IOL displacement or a change in the refractive status. The milky substance was aspirated from the capsular bag. Biochemical analysis showed the concentrations of proteins and Ca(++) in the milky liquid were higher than those in the aqueous humor. Protein identification by mass spectrometry indicated that the milky liquid contained a high concentration of alpha-crystallin and beta-crystallin.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Body Fluids / metabolism*
  • Cataract / diagnosis*
  • Cataract / etiology
  • Cataract / metabolism
  • Electrophoresis, Polyacrylamide Gel
  • Humans
  • Lens Capsule, Crystalline / pathology*
  • Lens Diseases / diagnosis*
  • Lens Diseases / etiology
  • Lens Implantation, Intraocular
  • Male
  • Mass Spectrometry
  • Phacoemulsification
  • Postoperative Complications*
  • Syndrome
  • alpha-Crystallins / metabolism
  • beta-Crystallins / metabolism

Substances

  • alpha-Crystallins
  • beta-Crystallins