Lacteocrumenasia due to late capsular bag distension syndrome: three consecutive cases effectively treated by Nd:YAG laser posterior capsulotomy

Resumen

ABSTRACT: In this paper, we describe three consecutive cases of capsular bag distension syndrome (CBDS) presenting 7 years, 6 years and 8 months after cataract surgery involving anterior continuous curvilinear capsulorhexis (CCC), phacoemulsification and intraocular lens (IOL) implantation in the capsular bag. In the affected patients, all of them men aged 67, 73 and 50 years, respectively, CBDS presented as reduced visual acuity in one eye. In all three patients, anterior chamber shallowing was observed and the space between the IOL and posterior capsule was filled with a cloudy milky fluid. No evidence of inflammation was detected in the anterior chamber or vitreous. In each case, the complication was resolved by low-energy Nd:YAG laser posterior capsulotomy, which effectively cleared the cloudy fluid into the vitreous cavity without consequence. Before making the decision to use this form of treatment, it is important to first rule out chronic endophthalmitis through differential diagnosis.