A Case of Thick Anterior Capsule of Hypermature Cataract in Down Syndrome.

Woo, Sung Wook; Kim, Jae Suk; Lee, Joo Hwa

Case Report

Journal of the Korean Ophthalmological Society 2006;47(5):847-851.
Published online May 31, 2006.

A Case of Thick Anterior Capsule of Hypermature Cataract in Down Syndrome.

Department of Ophthalmology, Sanggye Paik Hospital, Inje University, College of Medicine, Seoul, Korea. eyedoctor@freechal.com

다운 증후군 과숙 백내장 환자의 수정체전낭 비후 1예

우성욱,김재석,이주화

Department of Ophthalmology, Sanggye Paik Hospital, Inje University, College of Medicine, Seoul, Korea

Correspondence: Sung Wook Woo, M.D.

Abstract

PURPOSE
We report a case of severe thickening of the anterior capsule in a case of hypermature cataract with Down syndrome. METHODS: A 30-year-old woman with Down syndrome underwent intracapsular phacoemulsification followed by in-the-bag implantation of an intraocular lens (IOL) under general anesthesia. Pathologic examination was performed. The anterior capsule was then incised at the 12 o'clock position by intraocular scissors because continuous curvilinear capsulorhexis (CCC) was too difficult given the thickened anterior capsule. Intracapsular phacoemulsification was followed by in-the-bag implantation of IOL and the incised anterior capsule was trimmed. RESULTS Pathologic findings of the extracted anterior capsule documented a thickening of the anterior capsule 20-fold over that of a normal anterior capsule as well as depositions of fibroblasts and collagen materials. Six months after the operation, the patient's visual acuity was 0.3 and no complication was found.

Key Words: Anterior capsule;Down syndrome;Hypermature cataract