Anterior capsular contraction syndrome with hyperopic shift

Kathy Ming Feng; Yun-Hsiang Chang; Chang-Min Liang; Shu-I Pao

doi:10.1016/j.ajoc.2022.101328

Anterior capsular contraction syndrome with hyperopic shift

Am J Ophthalmol Case Rep. 2022 Jan 28:25:101328. doi: 10.1016/j.ajoc.2022.101328. eCollection 2022 Mar.

Authors

Kathy Ming Feng¹, Yun-Hsiang Chang¹, Chang-Min Liang¹, Shu-I Pao¹

Affiliation

¹ Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, 114, Taiwan.

Abstract

Purpose: To present a case of anterior capsular contraction syndrome with hyperopic shift two weeks after an uncomplicated combined cataract surgery and pars plana vitrectomy.

Observations: A 55-year-old man, with no known risk factors, who developed anterior capsular contraction syndrome with hyperopic shift two weeks after an uncomplicated combined cataract surgery and pars plana vitrectomy. Hyperopic shift was caused by posterior displacement of the intraocular lens with anterior flexion of the haptics. Manual peeling of the anterior capsule using the can-opener approach and microscissors successfully restored vision and corrected refractive errors.

Conclusions and importance: Anterior capsular contraction syndrome is a complication of cataract surgery and is known to be affected by zonular weakness, pre-existing systemic and ocular conditions, intraocular lens materials, and intraoperative complications. Careful maneuver with surgery or laser can effectively restore vision and correct refraction.

Keywords: Capsular contraction syndrome; Hyperopic shift.