Late-onset Capsular Block Syndrome: A Rare Complication and Its Surgical Management

Abstract

Purpose: Capsular block syndrome of late onset is one of rare post-operative complications of cataract surgery. Here we report the diagnosis and successful surgical management of this case. Case report: A 70 year aged person presented with gradual decrease of right eye vision for 4 years with a history of phacoemulsification surgery which was done 8 years back. Patient’s presenting vision was 6/60 in right eye with a whitish fluid filled like space just behind the intraocular lens (IOL). Patient managed surgically by removal of the ‘IOL-capsule-complex’ with anterior vitrectomy. The microbiological culture report of ‘IOL-capsule-complex’ showed no bacterial growth. Visual rehabilitation was restored by implanting an anterior chamber lens 2 months afterwards.Conclusion: Though rare but delayed presentation of capsular block syndrome has reported but conventional treatment with Nd:YAG laser capsulotomy may have risk of intraocular infection spread. Extraction of ‘ IOL-capsulecomplex’ with anterior vitrectomy followed by late implanting an anterior chamber lens can restore the visual function and can lessen the risk of intraocular infection.