nach oben

International Ophthalmology

Erschienen in:

24.10.2017 | Case Report

Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability

verfasst von: Sergio Canabrava, Leticia Bernardino, Thais Batisteli, Gabriella Lopes, Alberto Diniz-Filho

Erschienen in: International Ophthalmology | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This paper introduces a surgical technique for the sutureless management of zonular dialysis greater than 120° using a capsular tension segment (CTS) or a modified capsular tension ring (m-CTR; CTR with suturing eyelets) and a haptic removed from a 3-piece polypropylene IOL.

Methods

A CTR is used as normal. Cataract removal is followed by connection of the CTS or m-CTR to the single haptic and created using heat to make a flange in one haptic’s extremity. The other extremity is placed in the CTS or m-CTR’s central hole. The CTS or m-CTR/flanged-haptic complex is introduced into the capsular bag and aligned with the weakest zonular quadrant. A 30-gauge needle guides the externalization of the free haptic extremity through the adjacent pars plana and creates a flange on the second haptic tip permitting intrascleral fixation of the CTS or m-CTR.

Results

The result is a successful IOL implantation with a sutureless technique.

Conclusions

This double-flanged m-CTR/CTS technique allows suture-free option for managing zonular weakness or dialysis while performing cataract surgery.

Nur mit Berechtigung zugänglich

Tribus C, Alge CS, Haritoglou C, Lackerbauer C, Kampik A, Mueller A, Priglinger SG (2007) Indications and clinical outcome of capsular tension ring (CTR) implantation: a review of 9528 cataract surgeries. Clin Ophthalmol 1(1):65–69PubMedPubMedCentral

Yamane S, Inoue M, Arakawa A, Kadonosono K (2014) Sutureless 27-gauge needle guided intrascleral intraocular lens implantation with lamellar scleral dissection. Ophthalmology 121:61–66CrossRef

Gimbel HV, Condon GP, Kohnen T, Olson RJ, Halkiadakis I (2005) Late in-the-bag intraocular lens dislocation: incidence, prevention, and management. J Cataract Refract Surg 31:2193–2204CrossRef

Price MO, Price FW, Werner L, Berlie C, Mamalis N (2005) Late dislocation of scleral-sutured posterior chamber intraocular lenses. J Cataract Refract Surg 31:1320–1326CrossRef

Yamane S (2016) Transconjunctival intrascleral IOL fixation with double-needle technique, presented at the ASCRS symposium on cataract, IOL and refractive surgery, New Orleans, USA

Masket S, Osher RH (2002) Late complications with intraocular lens dislocation after capsulorhexis in pseudoexfoliation syndrome. J Cataract Refract Surg 28:1481–1484CrossRef

Jehan FS, Mamalis N, Crandall AS (2001) Spontaneous late dislocation of intraocular lens within the capsular bag in pseudoexfoliation patients. Ophthalmology 108:1727–1731CrossRef

Lorente R, de Rojas V, Vazquez de Parga P, Moreno C, Landaluce ML, Domınguez R, Lorente B (2010) Management of late spontaneous in-the-bag intraocular lens dislocation: retrospective analysis of 45 cases. J Cataract Refract Surg 36:1270–1282CrossRef

Lichtinger A, Kim P, Yeung SN, Amiran MD, Alangh M, Rootman DS (2013) Secondary intraocular lens interventions: predisposing factors, indications and coincident procedures. Int Ophthalmol 33:111–115CrossRef

10.

Hayashi K, Hirata A, Hayashi H (2007) Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery. Ophthalmology 114:969–975CrossRef

11.

Michaeli A, Soiberman U, Loewenstein A (2012) Outcome of iris fixation of subluxated intraocular lenses. Graefes Arch Clin Exp Ophthalmol 250:1327–1332CrossRef

12.

Gross JG, Kokame GT, Weinberg DV, for the Dislocated In-The Bag Intraocular Lens Study Group (2004) In-the-bag intraocular lens dislocation. Am J Ophthalmol 137:630–635PubMed

13.

Kim SS, Smiddy WE, Feuer W, Shi W (2008) Management of dislocated intraocular lenses. Ophthalmology 115:1699–1704CrossRef

14.

Praveen MR, Vasavada AR, Singh R (2003) Phacoemulsification in subluxated cataract. Indian J Ophthalmol 51(2):147–154PubMed

15.

Rai G, Sahai A, Kumar PR (2015) Outcome of capsular tension ring (CTR) implant in complicated cataracts. J Clin Diagn Res 9(12):NC05–NC07PubMedPubMedCentral

16.

Hara T, Hara T, Yamada Y (1991) “Equator ring” for maintenance of the completely circular contour of the capsular bag equator after cataract removal. Ophthalmic Surg 22:358–359PubMed

17.

Cionni RJ, Osher RH (1998) Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg 24:1299–1306CrossRef

18.

Nagamoto T, Bissen-Miyajima H (1994) A ring to support the capsular bag after continuous curvilinear capsulorhexis. J Cataract Refract Surg 20:417–420CrossRef

19.

Henderson BA, Kim JY (2007) Modified capsular tension ring for cortical removal after implantation. J Cataract Refract Surg 33:1688–1690CrossRef

20.

Dick HB (2005) Closed foldable capsular rings. J Cataract Refract Surg 31:467–471CrossRef

21.

Nishi O, Nishi K, Menapace R, Akura J (2001) Capsular bending ring to prevent posterior capsule opacification: 2 year follow-up. J Cataract Refract Surg 27:1359–1365CrossRef

22.

Jacob S, Agarwal A, Agarwal A, Narasimhan S, Kumar DA (2014) Glued capsular hook: technique for fibrin glue–assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses. J Cataract Refract Surg 40:1958–1965CrossRef

23.

Kara N (2015) A modified glued transscleral intraocular lens implantation: suture-assisted sutureless technique. J Refract Surg 31(7):488–491CrossRef

24.

Lang Y, Fineberg E, Garzozi HJ (2001) Vitrectomy to remove a posteriorly dislocated endocapsular tension ring. J Cataract Refract Surg 27:474–476CrossRef

25.

Bhattacharjee H, Bhattacharjee K, Das D, Jain PK, Chakraborty D, Deka S (2004) Management of a posteriorly dislocated endocapsular tension ring and a foldable acrylic intraocular lens. J Cataract Refract Surg 30:243–246CrossRef

26.

Lim MCC, Jap AHE, Wong EYM (2006) Surgical management of late dislocated lens capsular bag with intraocular lens and endocapsular tension ring. J Cataract Refract Surg 32:533–535CrossRef

Titel: Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability
verfasst von: Sergio Canabrava
Leticia Bernardino
Thais Batisteli
Gabriella Lopes
Alberto Diniz-Filho
Publikationsdatum: 24.10.2017
Verlag: Springer Netherlands
Erschienen in: International Ophthalmology / Ausgabe 6/2018
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-017-0746-5

Neu im Fachgebiet Augenheilkunde

08.04.2024 | Therapieverfahren in der Augenheilkunde | CME

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

Bestmögliche Wundheilung der Kornea dank optimaler pharmakologischer Therapie

Update Augenheilkunde

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2018

Environmental factors associated with ocular morbidity among children in three ecological regions of Nepal: a phase II Nepal Pediatric Ocular Diseases Study

On the regional variability of averaged cell area estimates for the human corneal endothelium in relation to the extent of polymegethism

Dry eye evaluation and correlation analysis between tear film stability and corneal surface regularity after small incision lenticule extraction

Listeria monocytogenes and ocular abscess: an atypical but yet potential association

Early epithelial complications of accelerated trans-epithelial corneal crosslinking in treatment of keratoconus: a case series

Choroidal metastasis from non-small-cell lung cancer responsive to Osimertinib: a case report

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

Bestmögliche Wundheilung der Kornea dank optimaler pharmakologischer Therapie

Update Augenheilkunde