Two cases of very late-onset capsular bag distension syndrome

Justin C. Galvin, Paula Berdoukas, Adrian T. Fung*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)
9 Downloads (Pure)


Purpose: We present two cases of late-onset capsular bag distension syndrome (CBDS). Observations: Two female patients were referred with decreased visual acuity and blurred vision. They had both undergone uncomplicated phacoemulsification and intraocular lens implantation into the capsular bag, seven and 13 years prior. Slit-lamp biomicroscopy and anterior segment optical coherence tomography demonstrated milky fluid between the intraocular lens and posterior capsules, consistent with late-onset capsular bag distension syndrome. A 25-gauge pars plana vitrectomy surgery was performed on each patient. This turbid retrolental fluid was successfully aspirated with posterior capsulotomy using 25-gauge pars plana vitrectomy surgery. Conclusions and importance: Late-onset capsular bag distension syndrome may occur up to 13 years following cataract surgery; the longest reported duration of onset. Anterior segment optical coherence tomography is useful in aiding diagnosis. Management with vitrectomy surgery has the advantages of complete clearance of the turbid fluid and microbial and pathological testing.

Original languageEnglish
Pages (from-to)268-270
Number of pages3
JournalAmerican Journal of Ophthalmology Case Reports
Publication statusPublished - 1 Jun 2018

Bibliographical note

Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • Bag
  • Capsular
  • Distension
  • Late
  • Milky
  • Vitrectomy

Fingerprint Dive into the research topics of 'Two cases of very late-onset capsular bag distension syndrome'. Together they form a unique fingerprint.

Cite this