Authors
Ayako Sadahide, Masahiko Takeda, Marina Eguchi, Fumiya Miyako, Noriko Nakasaki, Hirokazu Sakaguchi
Published in
BMC ophthalmology. Volume 26. Issue 1. Aug 17, 2026. Epub Aug 17, 2026.
Abstract
Capsular changes after congenital cataract surgery may compromise the visual axis in infants and may necessitate secondary surgical intervention. In such situations, identifying a safe dissection plane can be challenging under conventional microscopic visualization, and adjunctive intraoperative imaging may be beneficial.
A 2-month-old boy diagnosed with bilateral congenital cataracts underwent phacoaspiration, posterior capsulotomy, and anterior vitrectomy with planned aphakia. Despite continued topical treatment, the patient developed progressive posterior synechiae, anterior capsular contraction, and anterior-posterior capsular adhesion within 1 month postoperatively. Surgical dissection of the adhesion and enlargement of the anterior capsulotomy were performed under intraoperative anterior segment optical coherence tomography (AS-OCT) guidance. AS-OCT provided intraoperative cross-sectional information suggesting a narrow cleavage plane between the anterior and posterior capsules, which helped guide targeted viscodissection.
Intraoperative AS-OCT may serve as a useful adjunct in the management of postoperative capsular adhesion after congenital cataract surgery by helping surgeons identify the dissection plane and guide intraoperative decision-making, particularly when conventional microscopic visualization is limited.
PMID:
42870236
Bibliographic data and abstract were imported from PubMed on 14 Oct 2026.
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