Transient Anterior Subcapsular Vacuolar Lens Opacities After Trabeculectomy Using a Dispersive Ophthalmic Viscosurgical Device: Report of Five Cases

Five cases of transient anterior subcapsular vacuolar lens opacities following trabeculectomy using a dispersive ophthalmic viscosurgical device (OVD) performed by the same surgeon were reviewed at Shimane University Hospital from February to June 2024. All cases presented with anterior vacuolar subcapsular lens opacities observed seven days after surgery, which gradually resolved without specific interventions. Detailed surgical records and clinical outcomes were collected, and the findings suggest that these opacities, characterized by their transient and vacuolar appearance, should be recognized as an early complication of trabeculectomy, potentially linked to the use of dispersive OVDs.