VT153 : Surgical Technique for Optimal Management of Late Postoperative Capsular Block Syndrome

Dr.Jeewan S Titiyal, Dr.MANPREET KAUR, Dr. FALERA RUCHITA CLARA

We describe management of late postoperative capsular block syndrome, characterised by in-the-bag intraocular lens (IOL), well centred rhexis-IOL complex, proliferation of flocculent cortical matter behind the IOL and bag distension on Sheimpflug imaging. The fibrosed anterior capsular rim densely adheres to the IOL optic, and a sharp MVR was used to separate it from the IOL. Radial nicks were made circumferentially in the anterior capsular rim extending beyond the IOL optic, and the bag was inflated with a cohesive OVD. Bimanual cortical matter aspiration was done followed by a posterior continuous curvilinear capsulorhexis to prevent recurrence. This technique was successfully used in 7 cases. All cases had stable IOL, good visual acuity and no recurrence till one year of follow up.