Tsinopoulos Ioannis, Symeonidis Chrysanthos, Frangou Ekaterini, Dimitrakos Stavros A
2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Papageorgiou General Hospital,Thessaloniki, Greece.
Clin Exp Optom. 2008 Sep;91(5):469-72. doi: 10.1111/j.1444-0938.2007.00243.x. Epub 2008 Jan 8.
The combination of anterior capsule opacification (ACO) with capsulorrhexis phimosis and intraocular lens (IOL) decentration characterises the capsule contraction syndrome (CCS). Eight cases of ACO complicated with capsule phimosis are described.
In this study, 231 patients who underwent cataract extraction using phacoemulsification from September 2005 to May 2006 were included. An acrylic one-piece IOL was implanted with the use of the injector supplied by the manufacturer through a 2.75 mm incision. A thorough pre- and post-operative examination (visual acuity measurement, corneal curvature measurement, applanation tonometry, fundus examination) was performed for each patient.
In eight of 243 eyes of 231 patients, anterior capsule opacification with capsulorrhexis phimosis and IOL decentration was observed two to four months post-operatively. In all eight cases, the haptic implanted inferiorly was observed to be mounted on the IOL optic.
The combination of IOL memory loss in addition to ACO, capsulorrhexis phimosis and decentration can be a cause of the CCS, an observation that has not been reported previously.
前囊膜混浊（ACO）合并撕囊口狭窄及人工晶状体（IOL）偏位是晶状体后囊膜收缩综合征（CCS）的特征。本文描述了8例ACO合并撕囊口狭窄的病例。
本研究纳入了2005年9月至2006年5月期间接受超声乳化白内障摘除术的231例患者。通过一个2.75mm的切口，使用制造商提供的注射器植入一片式丙烯酸IOL。对每位患者进行了全面的术前和术后检查（视力测量、角膜曲率测量、压平眼压测量、眼底检查）。
在231例患者的243只眼中，有8只眼在术后2至4个月观察到前囊膜混浊合并撕囊口狭窄及IOL偏位。在所有8例病例中，观察到植入下方的袢安装在了IOL光学部上。
除了ACO、撕囊口狭窄和偏位外，IOL记忆丧失也可能是CCS的一个原因，这一观察结果此前尚未见报道。
