Anterior capsular phimosis is the centripetal fibrosis and contraction of the capsulorhexis after cataract extraction. Individuals with zonular laxity are at increased risk for this condition. Mild to moderate amounts of phimosis are usually not visually significant, but severe cases may require treatment by Nd:YAG laser anterior capsulotomy.
Patient with visually significant anterior capsule contraction syndrome in the right eye following cataract surgery. A YAG capsulotomy was attempted but did not achieve an adequate opening of the anterior capsule. Therefore, anterior segment revision surgery was planned to address the visually significant anterior capsular opacification (ACO).
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