Complete capsulorhexis opening occlusion despite capsular tension ring implantation

An 89-year-old woman and an 86-year-old woman had continuous curvilinear capsulomexis, phacoemulsification, and implantation of a silicone plate-haptic intraocular lens. Because of presumed weak zonules (high age, pseudoexfoliation), a poly(methyl methacrylate) capsular tension ring was also implanted. Despite this, both patients reported deterioration in visual acuity that was the result;of complete occlusion of the anterior capsule opening by fibrotic tissue 4 and 3 months postoperatively, respectively J Cataract Refract Surg 1999, 25. 1013-1015 (C) 1999 ASCRS and ESCRS.