Case Reports

Ossification of the capsular bag after multiple intraocular surgeries

Case Report Details

First Author: A.Miyazaki BRAZIL

Co Author(s):    W. de Oliveira Neto   D. Costa   P. Picciarelli   P. Carricondo           

Abstract Details

Purpose:

To report a case of ossification of the capsular bag, describe its particularities and discuss the case.

Setting:

We described the case of a 35-year-old man with a history of high myopia, ocular toxoplasmosis and multiple intraocular surgeries (PPPV and phacoemulsification) who presented in our clinic complaining of low visual acuity. The intraocular lens was capturated on the iris with a dense opacification and neovascularization around.

Report of Case:

A 35-year-old man presented to Cataract Service of the Clinic Hospital of the University of Sao Paulo, complaining of left eye pain and low visual acuity. He had a history of high myopia, vitrectomy for rhegmatogeneous retinal detachment 7 years ago, and a phacoemulsification surgery at the same time. On the exam, the left eye was warm, with the IOL capturated on the iris with a dense opacification around, neovascularization also was found in this opacification. The fundus examination of the left eye was impossible because of the opacification. A standard anterior vitrectomy technique was used, and the IOL was explanted with part of capsular bag and fibrotic material that involved the IOL. We diagnosed the case as an intraocular ossification, based on the histopathological specimen examination, which proved to be an ossified structure.

Conclusion/Take Home Message:

In spite of a rare occurrence, our case emphasized the theory that multiple surgeries and inflammation can lead to retinal pigment epithelium (RPE) metaplasia, which can result in osseous structures.

Financial Disclosure:

None