To report a case of capsular bag distension syndrome (CBDS) with solid material presenting eight years after cataract surgery.

A 58-years-old female patient underwent uneventful clear corneal phacoemulsification and in-the-bag IOL implantation in the right eye . Medical records showed postoperative visual acuity of 20/25. She presented to us eight years after surgery with complaints of visual blurring (VA: 20/200) and seeing cob-web like matter with her right eye. Slit lamp examination showed a normal anterior chamber and a well centered in-the-bag IOL. There was posterior bowing of the posterior lens capsule with accumulation of solid turbid material in the space between the IOL and the capsule. The intraocular pressure was 17mm of Hg in both eyes. Other examinations were normal.

First , a low and then high energy Nd:YAG laser anterior capsulotomy was tried, but it didn’t resolved. So, eventually the material was removed surgically from the capsular bag and patient got rid of symptoms and visual acuity improved to 20/25.

Late-onset CBDS is an uncommon cause of late postoperative visual impairment following cataract surgery with a complete continuous curvilinear capsulorrhexis. Hence, an awareness of this syndrome will help the cataract surgeon to manage this complication appropriately.