Dear Editor,

Capsular contraction syndrome (CCS) is a distinct clinical entity associated with continuous curvilinear lcapsulorhexis (CCC) performed during phacoemulsificaion [1]. Although some degree of anterior capsular whitening and fibrosis is normal, extreme phimosis can become significant when it leads to visual axis opacification, secondary tilting, decentration, buckling, or posterior displacement of the intraocular lens (IOL) with hypermetropic shift [1]. The clinical impact is more with toric and multifocal lens implants. Extreme complications, such as lens dislocation, retinal, and ciliary body detachments can also occur [1].

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