Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery

PURPOSE: To report the clinical features and management of two patients wit h pseudophakic anterior capsule contraction with secondary tractional cilia ry body detachments and hypotonous choroidal effusions. METHODS: Case reports. RESULTS: In two eyes of two patients with pseudophakia, severe anterior len s capsule contraction and tractional ciliary body detachments, anterior cap sulotomy (one Nd:YAG laser, one surgical), was followed by resolution of th e ocular hypotony and resolution/nonrecurrence of the choroidal effusions. In both cases, continuous curvilinear capsulorhexis was used during catarac t surgery. CONCLUSION: Anterior capsule contraction following pseudophakia may result in tractional ciliary detachment and secondary ocular hypotony, Radial ante rior capsulotomy appeared to be effective in both cases, (Am J Ophthalmol 2 000;129:253-254. (C) 2000 by Elsevier Science Inc. All rights reserved.).