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Br J Ophthalmol 2008;92:430-431 doi:10.1136/bjo.2007.120857
  • Letter
    • PostScript

Early tractional ciliary body detachment in a uveitic eye after cataract surgery managed with circumferential anterior capsulectomy

  1. Theresa Anne Williams,
  2. Atul Bansal,
  3. Velota Sung
  1. Birmingham and Midland Eye Centre, City Hospital, Birmingham, UK
  1. Theresa Anne Williams, Birmingham and Midland Eye Centre, City Hospital, Dudley Road, Birmingham B18 7QU, UK; tawilli40{at}hotmail.com
  • Accepted 25 May 2007

We report a case of tractional ciliary body detachment (CBD) caused by anterior capsule contraction occurring one week after uncomplicated cataract surgery in a uveitic eye. Initial radial capsulectomy was unsuccessful in resolving the CBD. An extensive circumferential surgical capsulectomy successfully released the tractional capsular forces with resolution of the CBD as confirmed by ultrasound biomicroscopy (UBM). Tractional CBD occurring during the early postoperative period has not previously been reported. Similarly, our circumferential capsulectomy technique has not previously been described in the treatment of tractional CBD.

CBD with hypotony caused by anterior capsular contraction is a very rare complication after uncomplicated phacoemulsification.1 Four cases have been reported in the literature in which hypotony developed between three and 18 months postoperatively.2–4 In these cases the causative tractional forces were relieved by Nd:YAG laser or surgical radial capsulotomies.

Case report

A 54-year-old Asian man was referred to our glaucoma …

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