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„Lacteocrumenasia“ – Capsular-Block-Syndrom III

“Lacteocrumenasia” – Capsular block syndrome III

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Zusammenfassung

Nach Ätiologie und Zeitpunkt des Auftretens können 3 Typen von Capsular-Block-Syndromen (CBS) nach unkomplizierter Kataraktoperation unterschieden werden. Wir berichten über 4 Fälle mit CBS Typ III, die sich mit zunehmender Visusminderung postoperativ nach einigen Jahren bei uns vorstellten. Charakteristisch war bei allen eine milchige Flüssigkeit zwischen der Hinterkammerlinse (HKL) und der hinteren Linsenkapsel. Therapie der Wahl ist die posteriore Kapsulotomie (Nd:YAG-Laser), kann aber auch bei Verdacht auf Low-Grade-Endophthalmitis chirurgisch, mit bakteriologischer Aufarbeitung des Punktats, durchgeführt werden.

Abstract

Capsular block syndrome (CBS) is a complication of uncomplicated cataract surgery. Depending on etiology and the time of onset CBS can be subdivide into three types. The cases of 4 patients with CBS type III who presented with a milky fluid in the space between the posterior surface of the implanted intraocular lens (IOL) and the anterior surface of the distended posterior capsular bag are described. All patients complained of reduced vision. The therapy of choice is Nd:YAG laser posterior capsulotomy but with suspected low-grade endophthalmitis surgical intervention can also be carried out and submitting the plug for bacterial culture.

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Authors and Affiliations

  1. Univ.-Augenklinik Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich

    A. Ramharter-Sereinig, E. Schmid & N. Bechrakis

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  1. A. Ramharter-Sereinig
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  2. E. Schmid
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  3. N. Bechrakis
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Correspondence to A. Ramharter-Sereinig.

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Ramharter-Sereinig, A., Schmid, E. & Bechrakis, N. „Lacteocrumenasia“ – Capsular-Block-Syndrom III. Ophthalmologe 107, 175–177 (2010). https://doi.org/10.1007/s00347-009-2013-2

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  • DOI: https://doi.org/10.1007/s00347-009-2013-2

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