Smaller capsulotomy size linked to higher risk of capsular phimosis in infant cataract surgery

Smaller capsulotomy diameters significantly increase the risk of capsular phimosis in infants after cataract surgery, according to a study.

In this retrospective study, 20 eyes from 12 infants who underwent cataract surgery before the age of 4 months, with a median follow-up of 1.7 years, were analyzed. Capsular phimosis developed in 35% of eyes, and 25% required additional surgical intervention within a few months of the initial procedure.

Notably, smaller anterior and posterior capsulotomy diameters were strongly associated with a higher risk of phimosis. Male sex was also identified as a risk factor.

Reference
Al-Lozi AM, McFadyen J, Shue A, Lambert SR. Risk factors for capsular phimosis following congenital cataract extraction. J AAPOS. 2025;104279. doi: 10.1016/j.jaapos.2025.104279. Epub ahead of print. PMID: 40754288.

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