Capsular Bag Distension Syndrome

Dr. Khaled Hassan demonstrates management of capsular bag distension syndrome (CBDS), a rare complication of cataract surgery with in-the-bag IOL placement. The syndrome is characterized by turbid fluid build-up in between the IOL and posterior capsule, eventually leading to a decline in visual acuity for the patient. Treatment most commonly entails Nd:YAG laser posterior capsulotomy with a short course of topical steroids due to the higher risk of postoperative inflammation. The YAG laser allows for quick release of the trapped smoky fluid and returns the IOL to its previous position, resolving the patient’s myopic shift and visual blurring.