Posters

Chronic endophthalmitis, capsular block syndrome and other post cataract surgery capsule complications assessed by anterior segment optical coherence tomography

Poster Details

First Author: Y.Rotenstreich ISRAEL

Co Author(s):    S. Cohen   E. Bubis   N. Bourla   A. Skaat   Y. Tucker   I. Sher     

Abstract Details

Purpose:

To report the findings of different posterior capsule pathologies, including chronic endophthalmitis, capsular block syndrome, cortical remnant and posterior capsular opacities in Anterior Segment Optical Coherence Tomography (AS-OCT) imaging, to assist with differential diagnosis of these complications.

Setting:

University tertiary medical facility.

Methods:

In this retrospective study, AS-OCT (Heidelberg Spectralis confocal scanning laser ophthalmoscope) images of eight patients who underwent cataract surgery were included. Seven patients presented different pathologies involving the posterior capsule and one patient was with no posterior capsule pathology. One patient had chronic endophthalmitis, two had capsular block syndrome, two patients had cortical remnant and other two had posterior capsular opacities.

Results:

The cases of chronic endophthalmitis and capsular block syndrome demonstrated fluid between the posterior capsule and the Intraocular lens (IOL). However, the former showed a level of hyper and hypo-reflectivity, which did not appear in the case of capsular block syndrome. The cortical remnant patients presented with hyper reflective string-like material that was not attached to the posterior capsule, whereas posterior capsule opacification appeared as a hyper-reflective double contour representing opacity between the posterior IOL edge and posterior capsule.

Conclusions:

AS-OCT imaging may differentiate between chronic endophthalmitis that should not be treated with laser-capsulotomy and capsular block syndrome, which requires laser-capsulotomy. Hence, AS-OCT imaging may prevent erroneous and potentially sight-threatening treatment for chronic endophthalmitis. In addition, it can also help to distinguish between posterior capsular opacities, which require laser-capsulotomy and capsular remnant which can reabsorb by itself.

Financial Disclosure:

None