| Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation. | |
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MedLine Citation:
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PMID: 10088748 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report histopathologic findings of capsule contraction syndrome with complete occlusion of the capsulorhexis opening. METHODS: Case report. In an 81-year-old woman, a complete occlusion of the anterior capsulorhexis opening developed 2 months after phacoemulsification and intraocular lens implantation. We surgically removed the contracted anterior capsule and analyzed the membrane by standard light microscopy and actin immunohistology. RESULTS: Light microscopic analysis of the membrane showed fibrous tissue subcapsularly with metaplastic lens epithelial cells. The contracted capsulorhexis opening was filled completely with proliferated actin-positive lens epithelial cells. CONCLUSIONS: Complete occlusion of the capsulorhexis opening can be attributed to excessive shrinkage of the capsule, probably caused by actin filaments found in the residual lens epithelial cells together with weak zonular support, and to the occlusion of the remaining central defect by massive proliferation of metaplastic lens epithelial cells. |
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Authors:
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K M Spang; J M Rohrbach; E G Weidle |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of ophthalmology Volume: 127 ISSN: 0002-9394 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-03-24 Completed Date: 1999-03-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 343-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Ophthalmology, Katharinenhospital Stuttgart, Germany. kspang@compuserve.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Actins
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metabolism Aged Aged, 80 and over Capsulorhexis / adverse effects* Cataract / etiology*, metabolism, pathology Cell Division Epithelial Cells / pathology Female Fibrosis Humans Immunohistochemistry Lens Capsule, Crystalline / metabolism, pathology* Lens Implantation, Intraocular Lenses, Intraocular Phacoemulsification Polymethyl Methacrylate Visual Acuity |
| Chemical | |
Reg. No./Substance:
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0/Actins; 9011-14-7/Polymethyl Methacrylate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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