Articles: PDF OnlyProgressive constriction of the anterior capsular opening following intact capsulorhexisHansen, Steven O. M.D.; Crandall, Alan S. M.D.a; Olson, Randall J. M.D.Author Information From the Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City, Utah. aReprint requests to Alan S. Crandall, M.D., Department of Ophthalmology, 50 North Medical Drive, Salt Lake City, Utah 84132. Supported in part by an unrestricted grant from Research to Prevent Blindness, New York, New York. Journal of Cataract & Refractive Surgery: January 1993 - Volume 19 - Issue 1 - p 77-82 doi: 10.1016/S0886-3350(13)80287-8 Free Metrics Abstract The continuous curvilinear capsulorhexis has rapidly increased in popularity as the procedure of choice when using phacoemulsification for cataract extraction. Only recently, however, have complications of this technique been reported. We review the complications of a continuous curvilinear capsulorhexis and present three cases involving progressive constriction of the postoperative anterior capsular opening. One patient had a history of myotonic muscular dystrophy, another had pars planitis, and the third had high myopia. A review of ocular findings in myotonic dystrophy and pars planitis is also presented, and the possible pathophysiology of this progressive constriction is explored. © Williams & Wilkins 1993. All Rights Reserved.