Articles: PDF OnlySevere capsulorhexis contracture after cataract surgery in myotonic dystrophyNewman, Douglas K. MA, FRCOphth*Author Information From the Department of Ophthalmology, Addenbrooke’s Hospital, Cambridge, United Kingdom *Reprint requests to Mr. D.K Newman, MA, FRCOphth, Department of Ophthalmology, Clinic 3 (Box 41), Addenbrooke’s Hospital Hills Road, Cambridge CB2 2QQ, United Kingdom. The author has no propriety or financial interest in any material or method mentioned. Journal of Cataract & Refractive Surgery: October 1998 - Volume 24 - Issue 10 - p 1410-1412 doi: 10.1016/S0886-3350(98)80238-1 Free Metrics Abstract A 42-year-old woman with myotonic dystrophy developed bilateral severe capsulorhexis contracture after uneventful phacoemulsification cataract surgery with implantation of 1-piece poly(methyl methacrylate) intraocular lenses (IOLs). The anterior capsular opening in her right eye constricted to a diameter of 0.7 mm, reducing visual acuity to counting fingers. Complete closure of the capsulorhexis with IOL encapsulation developed in her left eye, reducing visual acuity to hand movements. Surgical anterior capsulectomies restored visual acuity to 6/9 in both eyes. Myotonic dystrophy may predispose to the development of severe capsulorhexis contracture after cataract surgery. © Williams & Wilkins 1998. All Rights Reserved.