Anterior capsular phimosis in eyes with a capsular tension ring

A 64-year-old woman with zonular weakness in the left eye and a 79-year-old man with bilateral pseudoexfoliation and intraoperative zonular dehiscence had phacoemulsification with in-the-bag implantation of a single-piece pol y(methyl methacrylate) intraocular lens (IOL) and a capsular tension ring. Ten to 12 weeks postoperatively, all 3 eyes developed significant visual lo ss secondary to capsule shrinkage and occlusion of the capsulorhexis openin g. All eyes had a neodymium:YAG laser radial anterior capsulotomy, anterior capsulectomy, or both. Visual acuity was restored in all eyes despite slig ht IOL decentration. (C) 2001 ASCRS and ESCRS.