Scleral fixation of a capsular tension ring for severe ectopia lentis
- 1 April 2000
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Cataract & Refractive Surgery
- Vol. 26 (4), 609-612
- https://doi.org/10.1016/s0886-3350(99)00403-4
Abstract
A 4-year-old boy with bilateral idiopathic and progressive ectopia lentis had phacoaspiration of the lens and capsular tension ring (CTR) insertion in his left eye. Postoperatively, lens capsule centration remained poor. Single-point scleral fixation of the CTR was performed and centration of the lens capsule achieved. In-the-capsule intraocular lens (IOL) implantation was tried, but excessive IOL manipulation sliced open the capsule at the equator. Anterior vitrectomy and scleral IOL fixation were required. A similar approach was adopted in the right eye with meticulous attention given to gentle maneuvers. The operation was uneventful, with good IOL centration. Three and 11 months after surgery in the right and left eye, respectively, best corrected visual acuity was 20/50 in both eyes. Scleral fixation of the CTR, accompanied by gentle IOL manipulation, is an option to improve IOL centration in patients with severe zonular deficiency.Keywords
This publication has 3 references indexed in Scilit:
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- Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixationJournal of Cataract & Refractive Surgery, 1998
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