Capsular bag distension from occlusion of the circular anterior capsule ope
ning by the intraocular lens (IOL) optic is a rare complication of capsulor
hexis. The nature and source of fluid remain unclear. We report a case of c
apsular bag distension in an eye with an optic-captured, all-poly(methyl me
thacrylate), sulcus-fixated IOL. The fluid behind the IOL optic was visible
on the first postoperative day and resolved spontaneously by the sixth pos
toperative week, We believe that retained viscoelastic material in the caps
ular bag was a major contributor to the fluid.