Case Report
Anterior capsule phimosis and capsular block syndrome in a patient with Steinert myotonic dystrophy: a case report
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* Corresponding author: Nicola Rosa nicola.rosa@unina2.it
1 Centro Grandi Apparecchiature, 2nd University of Naples, Naples, Italy
2 Eye Department, 2nd University of Naples, Naples, Italy
3 Department of Experimental Medicine, Cardiomyology and Medical Genetics 2nd University of Naples, Naples, Italy
Cases Journal 2009, 2:9298 doi:10.1186/1757-1626-2-9298
Published: 10 December 2009Abstract
A 55-year-old man with myotonic dystrophy underwent phacoemulsification with IOL implantation in the right eye.
3 months after surgery, the patient showed a decreased visual acuity and an intraocular pressure (IOP) of 30 mmHg. Slit lamp examination showed a dense fibrosis of the anterior capsule with capsulorexis' shrinkage. Gonioscopy showed a closed angle. After a YAG laser iridotomy no decrease in the IOP was detected; following surgical peeling of the anterior capsule, the slit lamp showed a distended capsular bag. A YAG laser posterior capsulotomy was performed, without decrease in the IOP. Myotonic patients need to be closely followed up after cataract surgery, because in case of CBS development a prompt posterior capsulotomy could avoid more severe complications.