Muñoz-Negrete Francisco J, Rebolleda Gema
Hospital Ramón y Cajal, Glaucoma Unit, University of Alcala, Madrid, Spain.
Acta Ophthalmol Scand. 2005 Apr;83(2):252-5. doi: 10.1111/j.1600-0420.2005.00432.x.
To report four cases of capsular bag distension syndrome (CBDS) after combined cataract and glaucoma surgery.
We describe the clinical features and evolution of each case after individual treatment.
We report four cases of CBDS after phacoemulsification, combined with trabeculectomy in two cases and with an Ahmed aqueous drainage device implantation in the other two cases. The space between the intraocular lens (IOL) and the posterior capsule was occupied by an optically clear liquid in two cases and by a turbid liquid in the other two cases, with posterior bowing of the capsule into the anterior vitreous. A myopic shift and anterior chamber shallowing occurred in three cases. After posterior Nd:YAG laser capsulotomy, the CBDS resolved in three cases. In case 1, a surgical posterior capsulotomy and anterior vitrectomy were necessary.
Capsular bag distension syndrome should be included in the differential diagnosis of a shallow anterior chamber after combined cataract and glaucoma surgery.
报告4例白内障合并青光眼手术后发生囊袋扩张综合征（CBDS）的病例。
我们描述了每例患者个体化治疗后的临床特征及病情演变。
我们报告了4例白内障超声乳化术后发生CBDS的病例，其中2例合并小梁切除术，另外2例合并植入艾哈迈德房水引流装置。2例患者的人工晶状体（IOL）与后囊膜之间的间隙被透明液体占据，另外2例被混浊液体占据，后囊膜向前玻璃体腔呈弓形凸出。3例患者出现近视性移位和前房变浅。3例患者经后发性钕：钇铝石榴石激光晶状体囊切开术后，CBDS得到缓解。病例1需要进行手术性后囊膜切开术和前部玻璃体切除术。
囊袋扩张综合征应纳入白内障合并青光眼手术后前房变浅的鉴别诊断中。
