Total anterior capsule closure after silicone intraocular lens implantation.

An 84-year-old man with a nuclear cataract had phacoemulsification, continuous curvilinear capsulorhexis, and implantation of a silicone intraocular lens. Two months later, the patient had vision loss and severe anterior capsule fibrosis, leading to complete posterior chamber lens encapsulation. After a capsular opening was created with a neodymium:YAG laser, visual acuity returned to the preoperative level of 20/30.