Capsular block syndrome after implantation of an accommodating intraocular lens

A patient presented with capsular block syndrome (CBS) 1 month after cataract surgery. An unexpected postoperative myopia linked to shallowing of the anterior chamber was evident. The 1540 microm IOL shift was sufficient to give useful spectacle-free near vision. A neodymium:YAG laser peripheral anterior capsulotomy enabled the intracapsular liquid to flow into the anterior chamber, allowing normal placement of a 1CU IOL (HumanOptics AG) but revealing the limited accommodative ability of the IOL to cover the dioptric range from reading distance to infinity. The visual outcome of the patient is in accord with that in other studies of the effective of IOL shifting.