Posterior capsule opacification, capsular bag distension syndrome, and anterior capsular phimosis: A retrospective cohort study

• Published in: Archivos de la Sociedad Española de Oftalmología (English ed.) Vol. 90; no. 2; pp. 69 - 75
• Main Authors: González-Martín-Moro, J, González-López, J.J, Gómez-Sanz, F, Zarallo-Gallardo, J, Cobo-Soriano, R
• Format: Journal Article
• Language: English
• Published: Elsevier España 01.02.2015
• Subjects: Anterior capsule phimosis; Capsular bag distension; Capsulotomía Nd–YAG; Cataract surgery complications; Complicaciones de cirugía de catarata; Fimosis de la cápsula anterior; Nd–YAG capsulotomy; Opacificación de cápsula posterior; Ophthalmology; Posterior capsule opacification; syndrome; Síndrome de distensión capsular; Capsulotomía Nd–YAG; Complicaciones de cirugía de catarata; Nd–YAG capsulotomy; Posterior capsule opacification; syndrome; Síndrome de distensión capsular; Fimosis de la cápsula anterior; Capsular bag distension; Anterior capsule phimosis; Cataract surgery complications; Opacificación de cápsula posterior
• ISSN: 2173-5794; 2173-5794
• DOI: 10.1016/j.oftale.2015.02.011

Abstract Objective To determine the incidence and the risk factors involved in the development of the three main postoperative capsular complications: posterior capsule opacification (PCO), capsular bag distension syndrome (CBDS), and anterior capsular phimosis syndrome (ACP). Subjects, materials and methods A retrospective cohort study was conducted on 801 patients submitted to cataract surgery in the ophthalmology unit of Hospital del Henares (Madrid) from March 2, 2009 to February 28, 2010. Computerized clinical charts were reviewed during July 2012. PCO was studied using the Kaplan–Meier method (log rank test). Results A total of 167 patients developed PCO. No association could be demonstrated between PCO and age, sex, diabetes mellitus, phaco technique, IOL model, tamsulosin intake, glaucoma, and age-related macular degeneration. Three patients developed CBDS, all of them have received a Akreos Adapt AO® (Bausch & Lomb). Two of them were young men who had received surgery for posterior subcapsular cataracts. Three patients developed ACP, 2 of whom had received a MicroSlim® IOL (PhysIOL). Conclusions No association was found between PCO and any of the studied variables. Male gender, young age, subcapsular cataract and large non-angulated lens such as Akreos Adapt AO® could be associated with CBDS. ACP could be more frequent when microincision IOLs (like MicroSlim® ) are implanted.