ArticleInternational medical case reports journal2026
Bilateral Asymmetrical Presentation of Dead Bag Syndrome: A Case Report.
Article in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Delayed complications after uneventful cataract surgeries may arise, including IOL (Intraocular Lens) dislocation. Among the rarest etiologies is Dead Bag Syndrome (DBS), a condition defined by the presence of a clear, transparent capsular bag accompanied by spontaneous posterior capsular rupture (PCR) occurring many years after cataract surgery. This late-onset PCR represents the most distinctive clinical feature of the syndrome. Case Presentation: We report a case of healthy 69-year-old male presented to our Emergency Room (ER) complaining of sudden onset painless decreased vision in the left eye for 2 weeks. He has undergone uneventful cataract surgeries in both eyes. On examination, his uncorrected visual acuity (VA) in the right eye was 20/25 and in the left eye was 20/300. Slit-lamp Examination of the right eye showed vitreous prolapse in the anterior chamber, the IOL was in-situ, however, there was a central PCR. Fundus exam for the right eye was unremarkable. Examination of the left eye showed vitreous prolapse in anterior chamber, and the patient was aphakic with a central PCR. Fundus exam of the left eye showed healthy flat retina with a dislocated IOL. Patient underwent a successful Pars Plana Vitrectomy (PPV) + secondary IOL implantation with excellent visual outcome. Conclusion: In conclusion, this case illustrates a rare bilateral manifestation of DBS and provides additional insight to this condition. It reinforces the importance of long-term postoperative monitoring and supports the recognition of DBS as a distinct pathological entity. With appropriate evaluation and tailored surgical intervention, satisfactory visual outcomes can be attained despite substantial capsular compromise.
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