CAPSULAR BAG DISTENSION SYNDROME AFTER CA PSULORHEXIS

We present one case of capsular bag distension associated with lens ph acoemulsification, capsulorhexis and posterior chamber intraocular len s (IOL) insertion. Capsular bag distension is a rare postoperative com plication of continuous tear anterior capsulotomy and presents the fol lowing characteristics: (1) postoperative myopic over-refraction; (2) shallowing of the anterior chamber associated with anterior shift of t he IOL and the iris diaphragm, (3) important posterior distension of t he posterior capsule and (4) sealing of the capsule to the anterior su rface of the IOL. In our case, recovery, of vision was incomplete afte r cataract surgery although the procedure was uneventful and no other ocular pathology was found. A neodymium: YAG laser anterior capsulotom y peripheral to the edge of the IOL remedied the situation allowing th e capsular fluid to regress into the anterior chamber and the IOL to r eturn in a normal posterior position.