Unusual Internal Astigmatism Due to Severe Capsule Contraction Syndrome.

PURPOSE: To describe a case of severe capsule contraction syndrome causing significant astigmatism due to intraocular lens (IOL) folding.

METHODS

Case report.

RESULTS

Capsule fibrosis and contraction resulted in bending of the hydrophilic IOL along its long axis. Anterior Nd:YAG capsulotomy resolved the situation and restored the patient's visual acuity.

CONCLUSIONS

Hydrophilic IOLs are more susceptible to capsule contraction due to the increased flexibility of highly hydrated materials. They should be avoided in patients at risk of capsule contraction to prevent ocular complications. [J Refract Surg. 2018;34(1):65-67.].