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      Exploring anterion capsular contraction syndrome in cataract surgery: insights into pathogenesis, clinical course, influencing factors, and intervention approaches

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          Abstract

          Anterior capsular contraction syndrome (ACCS) is a challenging complication that can occur following phacoemulsification cataract surgery. Characterized by capsular bag wrinkling, intraocular lens (IOL) decentration and tilt, ACCS can have negative effects on visual outcomes and patient satisfaction. This review aims to investigate the pathogenesis, clinical course, influencing factors, and intervention approaches for ACCS after cataract surgery. By understanding the underlying mechanisms and identifying factors that contribute to ACCS, surgeons can enhance their ability to predict and manage this complication. Various intervention strategies are discussed, highlighting their importance in reducing complications and improving surgical outcomes. However, further research is needed to determine optimal prevention and management strategies through long-term follow-up and comparative analyses. Advancements in this field will ultimately lead to improved visual outcomes and optimized cataract surgery for patients.

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          Most cited references115

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          Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: a current perspective

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            Myotonic dystrophy.

            Myotonic dystrophy (dystrophia myotonica, DM) is one of the most common lethal monogenic disorders in populations of European descent. DM type 1 was first described over a century ago. More recently, a second form of the disease, DM type 2 was recognized, which results from repeat expansion in a different gene. Both disorders have autosomal dominant inheritance and multisystem features, including myotonic myopathy, cataract, and cardiac conduction disease. This article reviews the clinical presentation and pathophysiology of DM and discusses current management and future potential for developing targeted therapies.
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              Late in-the-bag intraocular lens dislocation: incidence, prevention, and management.

              Dislocation of an intraocular lens (IOL) with the capsular bag is a late complication of cataract surgery, reported with increasing frequency in recent years. Pseudoexfoliation, uveitis, myopia, and other diseases associated with progressive zonular weakening and capsular contraction are the predisposing conditions. Capsular tension rings probably help but do not prevent this complication. Management includes IOL exchange, replacement with an anterior or a sutured posterior chamber IOL, or suturing the IOL through the bag to the iris or the sclera.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/1979698/overviewRole: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/2641867/overviewRole: Role:
                URI : https://loop.frontiersin.org/people/1697806/overviewRole: Role: Role:
                Journal
                Front Med (Lausanne)
                Front Med (Lausanne)
                Front. Med.
                Frontiers in Medicine
                Frontiers Media S.A.
                2296-858X
                19 February 2024
                2024
                : 11
                : 1366576
                Affiliations
                [1] 1Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University , Shanghai, China
                [2] 2Key NHC Laboratory of Myopia, Fudan University, Laboratory of Myopia, Chinese Academy of Medical Sciences , Shanghai, China
                [3] 3Shanghai Key Laboratory of Visual Impairment and Restoration , Shanghai, China
                [4] 4Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University , Wenzhou, China
                Author notes

                Edited by: Georgios D. Panos, Nottingham University Hospitals NHS Trust, United Kingdom

                Reviewed by: Katarzyna Krysik, Wojewódzki Szpital Specjalistyczny nr 5 Sosnowiec, Poland

                Xu Chen, Shanghai Aier Eye Hospital, China

                *Correspondence: Jin Yang, jin_er76@ 123456hotmail.com

                These authors have contributed equally to this work

                Article
                10.3389/fmed.2024.1366576
                10911763
                38439904
                18d9602d-72e6-45df-bb0e-18fa0712ec45
                Copyright © 2024 Lin, Ma and Yang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 06 January 2024
                : 05 February 2024
                Page count
                Figures: 6, Tables: 2, Equations: 0, References: 115, Pages: 11, Words: 9888
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Medicine
                Review
                Custom metadata
                Ophthalmology

                capsular contraction syndrome,cataract surgery,intraocular lenses,capsular tension ring,laser anterior capsulotomy

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