PMID- 28770106 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 2090-004X (Print) IS - 2090-0058 (Electronic) IS - 2090-004X (Linking) VI - 2017 DP - 2017 TI - Outcome of Surgical Treatment in Late-Onset Capsular Block Syndrome. PG - 1847179 LID - 10.1155/2017/1847179 [doi] LID - 1847179 AB - PURPOSE: To further investigate the pathogenesis of late-onset capsular block syndrome (CBS) and to evaluate the safety of surgical treatment. METHODS: Seven patients diagnosed with late-onset CBS were retrospectively analyzed. Anterior chamber depth (ACD), intraocular pressure (IOP), refractive diopter, and best-corrected visual acuity (BCVA) before and after surgery were recorded. The opaque substance was tested with Western blot, and a flow cytometer multiple array assay system was utilized to evaluate the levels of inflammatory cytokines from opaque substance and aqueous humor, respectively. RESULTS: Patients who had undergone surgical treatment showed a significant BCVA and spherical equivalent refractive error improvement (P = 0.002, P = 0.021, resp.). Nevertheless, ACD and IOP before and after surgery were in normal range with no difference (P = 0.165, P = 0.749, resp.). alphaB-crystallin and betaB-crystallin were detected in all opaque substances. Tumor necrosis factor-alpha (TNF-alpha) and interlukin-1beta (IL-1beta) levels in opaque substance were significantly higher than those in aqueous humor (P = 0.038, P = 0.007, resp.), while IL-2 and IL-6 were not detected in any samples. CONCLUSIONS: Opaque substance is derived from human lens epithelial cells. Inflammatory cytokines may be involved in the pathogenesis of late-onset CBS. In addition, surgical treatment is an effective approach. This trial is registered with ChiCTR-IOR-17011287. FAU - Huang, Yang AU - Huang Y AUID- ORCID: 0000-0002-2634-3234 AD - Department of Ophthalmology, The Chinese People's Liberation Army General Hospital, Beijing, China. FAU - Ye, Zi AU - Ye Z AD - Department of Ophthalmology, The Chinese People's Liberation Army General Hospital, Beijing, China. FAU - Li, Hang AU - Li H AD - Medical Department, The First Hospital Affiliated to General Hospital of the Chinese People's Liberation Army, Beijing, China. FAU - Li, Zhaohui AU - Li Z AUID- ORCID: 0000-0003-3850-5971 AD - Department of Ophthalmology, The Chinese People's Liberation Army General Hospital, Beijing, China. LA - eng PT - Journal Article DEP - 20170709 PL - United States TA - J Ophthalmol JT - Journal of ophthalmology JID - 101524199 PMC - PMC5523514 EDAT- 2017/08/05 06:00 MHDA- 2017/08/05 06:01 PMCR- 2017/07/09 CRDT- 2017/08/04 06:00 PHST- 2017/01/15 00:00 [received] PHST- 2017/04/03 00:00 [revised] PHST- 2017/04/18 00:00 [accepted] PHST- 2017/08/04 06:00 [entrez] PHST- 2017/08/05 06:00 [pubmed] PHST- 2017/08/05 06:01 [medline] PHST- 2017/07/09 00:00 [pmc-release] AID - 10.1155/2017/1847179 [doi] PST - ppublish SO - J Ophthalmol. 2017;2017:1847179. doi: 10.1155/2017/1847179. Epub 2017 Jul 9.