PDF(Pubmed)
Abstract：
Anterior capsular contraction syndrome is an uncommon but well-known complication associated with continuous curvilinear capsulorhexis performed during cataract surgery. It remains asymptomatic unless the constriction progresses to involve the visual axis or causes late intraocular lens-related complications. A male patient in his 50s presented with severely decreased vision in his right eye 2 years after uneventful cataract surgery. Slit-lamp biomicroscopy revealed capsular phimosis and a dense, central, fibrous plaque with total occlusion of the anterior capsulorhexis opening. Neodymium-doped yttrium aluminium garnet laser anterior capsulotomy and vitrectorhexis were attempted, but proved ineffective. Surgical excision with manual cutting of the fibrotic membrane was performed, successfully clearing the visual axis and restoring vision.
摘要：
前囊收缩综合征是一种罕见但众所周知的并发症，与白内障手术期间进行的连续曲线撕囊相关。除非收缩进展到涉及视轴或引起晚期人工晶状体相关并发症，否则它仍然无症状。一名50多岁的男性患者在顺利的白内障手术2年后，右眼视力严重下降。裂隙灯生物显微镜检查显示包膜包茎和致密，中央,纤维斑块完全闭塞的前撕囊开口。尝试了掺钕钇铝石榴石激光前囊切开术和玻璃体切除术，但证明无效。手术切除与手动切割纤维膜，成功清除视轴并恢复视力。
