Posters

Chronic endophthalmitis, capsular block syndrome and other capsular pathologies assessed by anterior segment optical coherence tomography

Poster Details

First Author: S.Cohen ISRAEL

Co Author(s): E. Bubis   N. Bourla   I. Sher   Y. Rotenstreich           

Abstract Details

Purpose:

To compare Anterior Segment Optical Coherence Tomography (AS-OCT) findings in chronic endophthalmitis versus capsular block syndrome and other posterior capsule pathologies

Setting:

A case series.

Methods:

In this retrospective study, AS-OCT (Heidelberg Spectralis confocal scanning laser ophthalmoscope) imaging of six representative patients who underwent cataract surgery and presented different posterior capsule pathologies and one control subject were included. One patient had chronic endophthalmitis, one patient had capsular block syndrome, two patients had cortical remnant and two patient had posterior capsular opacities.

Results:

The cases of chronic endophthalmitis and capsular block syndrome demonstrated fluid between the posterior capsule and the 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 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 can 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. AS-OCT can also help to distinguish between posterior capsular opacities that require laser-capsulotomy and capsular remnant which can reabsorb by itself.

Financial Disclosure:

None