Narjisse Taouri, Nourdine Boutimzine
Corresponding author: Narjisse Taouri, Department A of Ophthalmology, Mohammed V University Souissi, Rabat, Morocco
Received: 31 Dec 2020 - Accepted: 18 Jan 2021 - Published: 19 Jan 2021
Keywords: Capsulophimosis, cataract surgery, epithelial cells
©Narjisse Taouri et al. PAMJ - Clinical Medicine (ISSN: 2707-2797). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Narjisse Taouri et al. Anterior capsulophimosis. PAMJ - Clinical Medicine. 2021;5:21. [doi: 10.11604/pamj-cm.2021.5.21.27667]
Available online at: https://www.clinical-medicine.panafrican-med-journal.com/content/article/5/21/full
Narjisse Taouri1,&, Nourdine Boutimzine1
We report a case of a 14-year-old child, who underwent cataract surgery for congenital cataract, with posterior capsulorhexis and intraocular lens implantation. A year after surgery, the patient developed capsule contraction syndrome on 360° degrees, with a clear visual axis. The first clinical description of anterior capsular phimosis was in 1993 by Davison. It corresponds to rhexis constriction, represented clinically as a formation of fibrosis ring of edges of the anterior capsule, due to proliferation and formation of cortical fibers from the equatorial epithelial cells and those covering the anterior capsule which are retained after the surgery. Previous studies have reported that anterior capsulophimosis may lead to some complications as intraocular lens displacement. They have reported also that the treatment of severe cases is by Nd: YAG laser anterior capsulotomy.
Figure 1: slit lamp photograph of the right eye showing dense annular fibrosis of the capsule