Anterior capsular phimosis.

A 65-year-old, systemically stable female, underwent uneventful Right eye phacoemulsification with in the bag intraocular lens implantation. After 2 months, she presented with diminution of vision in right eye. On examination, best corrected visual acuity was 6/18 and slit lamp examination revealed quite anterior chamber with anterior capuslar phimosis [Fig. 1]. The fundus examination revealed quite vitreous with attached retina.

Figure 1

Slit lamp examination showing Anterior capsular phimosis

Capsular phimosis is usually seen in patients with history of pseudoexfoliation, diabetic retinopathy, myotonic dystrophy, retinitis pigmentosa, uveitis, Marfan's syndrome, high myopia or other factors associated with weakened zonules.[12] Capsular phimosis is associated with size of capsulorrhexis, retained lens epithelial cells, and IOL position.[3] The most frequent method of treatment is Nd: YAG laser anterior capsulotomy.[34]

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