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Sudden-Onset Painless Blurry Vision

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Peter H. Tang, MD, PhD, Department of Ophthalmology, Byers Eye Institute, Stanford University, 2452 Watson Ct, Palo Alto, CA 94303 (ptang@stanford.edu).

Published Online: June 6, 2019. doi:10.1001/jamaophthalmol.2019.1431

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References
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Davison  JA.  Capsular bag distension after endophacoemulsification and posterior chamber intraocular lens implantation.  J Cataract Refract Surg. 1990;16(1):99-108. doi:10.1016/S0886-3350(13)80883-8PubMedGoogle ScholarCrossref
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Miyake  K, Ota  I, Ichihashi  S, Miyake  S, Tanaka  Y, Terasaki  H.  New classification of capsular block syndrome.  J Cataract Refract Surg. 1998;24(9):1230-1234. doi:10.1016/S0886-3350(98)80017-5PubMedGoogle ScholarCrossref
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Eifrig  DE.  Capsulorhexis-related lacteocrumenasia.  J Cataract Refract Surg. 1997;23(3):450-454. doi:10.1016/S0886-3350(97)80193-9PubMedGoogle ScholarCrossref
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Yang  MK, Wee  WR, Kwon  JW, Han  YK.  Anterior chamber depth and refractive change in late postoperative capsular bag distension syndrome: a retrospective analysis.  PLoS One. 2015;10(4):e0125895. doi:10.1371/journal.pone.0125895PubMedGoogle ScholarCrossref
6.
Mastropasqua  L, Toto  L, De Nicola  G, Nubile  M, Carpineto  P.  OCT imaging of capsular block syndrome with crystalline cortical remnants in the capsular bag.  Ophthalmic Surg Lasers Imaging. 2009;40(4):399-402. doi:10.3928/15428877-20096030-08PubMedGoogle ScholarCrossref
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Zafeiropoulos  P, Katsanos  A, Gorgoli  K, Asproudis  I, Aspiotis  M.  Late-onset capsular bag distension syndrome: a report of two cases.  Acta Medica (Hradec Kralove). 2014;57(4):165-167. doi:10.14712/18059694.2015.83PubMedGoogle ScholarCrossref
8.
Galvin  JC, Berdoukas  P, Fung  AT.  Two cases of very late-onset capsular bag distension syndrome.  Am J Ophthalmol Case Rep. 2018;10:268-270. doi:10.1016/j.ajoc.2018.03.019PubMedGoogle ScholarCrossref
9.
Kollias  AN, Vogel  MA, de Kaspar  HM, Lackerbauer  CA, Grueterich  M.  Propionibacterium acnes in capsular bag distension syndrome.  J Cataract Refract Surg. 2010;36(1):167-169. doi:10.1016/j.jcrs.2009.06.047PubMedGoogle ScholarCrossref
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