Alintaş Ayşe Gül Koçak, Dal Derya
Ulucanlar Training and Research Hospital, Ulucanlar Cad. No:59 Ankara, Turkey.
Int J Ophthalmol. 2010;3(4):358-60. doi: 10.3980/j.issn.2222-3959.2010.04.20. Epub 2010 Dec 18.
We reported the case of a 39-year-old patient with inactive Behcet's syndrome developed capsule contraction syndrome after uneventful phacoemulsification and a foldable intraocular lens implantation. Two weeks after the operation, the patient was accepted to hospital with severe decrease of visual acuity (VA) on the operated eye. Capsule opening area had been reduced considerably by fibrotic tissue, which evaluated with full dilated pupil. Since capsule contraction syndrome (CCS) had been diagnosed in very early stage and which structure was not severely thick, the fibrotic band was treated successfully, 360 degree circular shape, by neodymium YAG (Nd:YAG) laser. Capsule opening area was remained stable during follow up period of one month. But a significant reocclusion was developed that need surgical reopening 3 months after initial operation. Continuous curvilinier capsulorhexis (CCC) may be recurred again after a successful treatment in patient with uveitis like Behcet's disease.
我们报告了一例39岁患有静止期白塞病的患者，在顺利进行超声乳化白内障吸除术和植入可折叠人工晶状体后发生了晶状体后囊膜收缩综合征。术后两周，该患者因术眼视力严重下降入院。通过充分散瞳检查发现，纤维化组织使囊膜开口面积显著减小。由于晶状体后囊膜收缩综合征（CCS）在极早期被诊断，且组织结构未严重增厚，因此通过钕钇铝石榴石（Nd:YAG）激光成功治疗了纤维化带，形成了360度圆形。在一个月的随访期内，囊膜开口面积保持稳定。但在初次手术后3个月出现了明显的再次闭合，需要手术重新打开。对于像白塞病这样患有葡萄膜炎的患者，在成功治疗后连续环形撕囊（CCC）可能会再次复发。
