SEVERE CAPSULORHEXIS CONTRACTURE AFTER CATARACT-SURGERY IN MYOTONIC-DYSTROPHY

A 42-year-old woman with myotonic dystrophy developed bilateral severe capsulorhexis contracture after uneventful phacoemulsification catara ct surgery with implantation of 1-piece poly(methyl methacrylate) intr aocular lenses (IOLs). The anterior capsular opening in her right eye constricted to a diameter 0.7 mm, reducing visual acuity to counting f ingers. Complete closure of the capsulorhexis with IOL encapsulation d eveloped in her left eye, reducing visual acuity to hand movements. Su rgical anterior capsulectomies restored visual acuity to 6/9 in both e yes. Myotonic dystrophy may predispose to the development oi severe ca psulorhexis contracture after cataract surgery.