Surgical management of late dislocated lens capsular bag with intraocular lens and endocapsular tension ring

Journal of Cataract and Refractive Surgery
Marcus C C LimEdmund Y M Wong

Abstract

A case of late spontaneous dislocation of the lens capsular bag (CB) with foldable acrylic intraocular lens (IOL) and endocapsular tension ring (CTR) and its surgical management is reported in a 52-year-old man. The dislocation occurred 2 years 3 months after phacoemulsification cataract surgery in which a CTR was used for zonular instability. A 3-port pars plana vitrectomy was performed. Because it was not possible to grasp the IOL-CTR-CB complex, perfluorocarbon liquid was used to attempt to float it up. This was unsuccessful, so a scleral indenter was used to apply external pressure on the sclera to tilt the IOL-CTR-CB complex into a position where it could be grasped with a forceps and removed through a corneal section. A scleral-fixated IOL was placed, and the patient achieved a best corrected visual acuity of 6/9. The procedure was safe and effective without intraocular complications.

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Citations

Oct 12, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·R Menapace
Apr 23, 2011·Journal of Cataract and Refractive Surgery·Thomas A OettingAlton T Szeto
Jul 9, 2010·Journal of Cataract and Refractive Surgery·Jaeryung Oh, William E Smiddy
Nov 4, 2006·Journal of Cataract and Refractive Surgery·Veerappan Rathinapasabapathy SaravananParthasarathy Sathyan
Aug 20, 2014·Journal of Cataract and Refractive Surgery·Nikolaos Kopsachilis, Gianluca Carifi
Oct 27, 2017·International Ophthalmology·Sergio CanabravaAlberto Diniz-Filho
Jan 6, 2009·European Journal of Ophthalmology·N M SergienkoA K Yakimov

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