Response to ‘Comment on: Capsular fibrosis: a review of prevention methods and management’

To the Editor:

We thank Ahfat for his comments [1]. Due to the word count limitation for the article as well as the large topic of after-cataract, we were not able to supply all the detail such as complete lists of causes, in this instance for anterior capsule opacification. We agree that retinitis pigmentosa and zonular dehiscence are also causes of anterior capsular contraction and sometimes phimosis. We believe that radial relieving incisions of the anterior capsule after lens implantation at the end of surgery is a rather aggressive approach for prophylaxis and would only perform it if significant phimosis had been observed in the contralateral eye. Anterior Nd:YAG laser capsulotomy or, if not effective, secondary surgical capsulectomy would be our preferred strategy.

Compliance with ethical standards

Conflict of interest

The authors have no proprietary or financial interest in any of the materials or equipment mentioned in this study. OF is a scientific advisor to Alcon, Carl Zeiss Meditec AG, Johnson & Johnson and Merck.