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

A 58-years-old female who underwent an uneventful clear corneal phacoemulsification with in-the-bag IOL implantation in the right eye, presented to the eye clinic with complaints of visual blurring (VA: 20/200) and cobweb like matter appearing in her right eye visual field eight years after surgery. Medical records showed postoperative visual acuity of 20/25 and all normal ocular examination. On slit lamp examination, a normal anterior chamber with a well centered in-the-bag IOL position and posterior bowing of the posterior lens capsule with accumulation of solid turbid materials in the space between the IOL and the capsule was seen. The intraocular pressure was 17mmHg in both eyes. Other examination was 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. Consequently 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. YAG laser capsulotomy is a safe therapeutic option with a rapid recovery; In special cases with solid material not responding to this treatment, it is needed to perform surgical removal which has an excellent prognosis.