Quiz

Diabetic Retinopathy

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

JAMA Ophthalmology

August 1, 2019

JAMA Ophthalmology Clinical Challenge

Article Information and Disclosures

Peter H. Tang, MD, PhD^1,2;

Talhah Zubair, BA³;

Steven R. Sanislo, MD¹

Author Affiliations

¹Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, California
²Department of Ophthalmology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California
³Medical student, Stanford University School of Medicine, Palo Alto, California

Read article on JAMA Network

Read Case Take Quiz Answer

Take Quiz

Please finish quiz first before checking answer.

Buy This Activity

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

Theng JT, Jap A, Chee SP. Capsular block syndrome: a case series. J Cataract Refract Surg. 2000;26(3):462-467. doi:10.1016/S0886-3350(99)00339-9 PubMed Google Scholar Crossref

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)80883-8 PubMed Google Scholar Crossref

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)80017-5 PubMed Google Scholar Crossref

Eifrig DE. Capsulorhexis-related lacteocrumenasia. J Cataract Refract Surg. 1997;23(3):450-454. doi:10.1016/S0886-3350(97)80193-9 PubMed Google Scholar Crossref

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.0125895 PubMed Google Scholar Crossref

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:10.3928/15428877-20096030-08 PubMed Google Scholar Crossref

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:10.14712/18059694.2015.83 PubMed Google Scholar Crossref

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.2018.03.019 PubMed Google Scholar Crossref

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.2009.06.047 PubMed Google Scholar Crossref

Sudden-Onset Painless Blurry Vision

You answered correctly!

You answered incorrectly.

Sudden-Onset Painless Blurry Vision

You answered correctly!

You answered incorrectly.

See More About

If you are not a JN Learning subscriber, you can either:

A subscription to JN Learning (CME from JAMA Network) provides:

Sign in to access

If you are not a JN Learning subscriber, you can either:

Sign in to customize your interests

With a personal account, you can:

Name Your Search

Sign in to save your search

With a personal account, you can:

Lookup An Activity

My Saved Searches

Sign in to customize your interests

With a personal account, you can:

Purchase access