Scheimpflug Imaging of Late-onset Capsular Bag Distention Syndrome Treated with Nd: YAG Laser: A Case Report
Andreas Katsimpris *
First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece and Department of Ophthalmology, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK.
Maria Moleron
Department of Ophthalmology, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, UK.
Aristotelis Karamaounas
First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Stylianos Kandarakis
First Ophthalmology Department, "G. Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.
*Author to whom correspondence should be addressed.
Abstract
Aims: To report a case of very late-onset capsular bag distention syndrome (CBDS) 8 years after uncomplicated cataract surgery treated with Neodymium: Yag (Nd: Yag) laser posterior capsulotomy.
Presentation of the Case: A 76-year-old female patient without any systemic or ocular disorders, presented with progressive blurry vision in her right eye (RE) over the last 1 year. Best-corrected visual acuity (BCVA) was 6/9 in the right eye and 6/6 in the left eye. Manifest refraction revealed a 0.5 diopters myopic shift in her RE compared to her last ocular examination 2 years ago. Scheimpflug photograpgy and slit-lamp examination were utilized to make the diagnosis of CBDS, which was successfully treated with Nd: Yag laser posterior capsulotomy. At day 1 post-capsulotomy the BCVA of her RE improved to 6/6 with a 0.5 diopters hyperopic shift which was consistent with a 0.13 mm post-capsulotomy increase in the anterior chamber depth, as documented by the Scheimpflug images.
Discussion and Conclusion: Late-onset CBDS can manifest after a considerable time period following cataract surgery and Scheimpflug imaging can be a useful aid for a precise diagnosis and documentation of the treatment.
Keywords: Capsular bag distention syndrome, neodymium, Yag laser, posterior capsulotomy, Scheimpflug imaging