title: Implantation of the modified endocapsular bending ring in pediatric cataract surgery using a viscoadaptive viscoelastic agent.
abstract: Cataract surgery and intraocular lens (IOL) implantation in pediatric eyes remain controversial. Using a viscoadaptive viscoelastic agent, we implanted a modified capsular bending ring (CBR) as well as an acrylic IOL with a sharp-optic-edge design in the capsular bag. All operated eyes demonstrated a low postoperative inflammatory reaction and a clinically well-centered IOL. The band-shaped, sharp-edged CBR facilitates the creation of a sharp, discontinuous bend in the equatorial capsule, which prevents anterior and posterior capsule opacification. Combining the viscoadaptive viscoelastic agent and the CBR enhances the safety of primary and secondary posterior chamber IOL implantation in pediatric cataract surgery, reduces capsule opacification, and may facilitate IOL exchange.
authors.affiliation: Department of Ophthalmology, Johannes Gutenberg-University, Mainz, Germany.
authors.forename: H B
authors.initials: HB
authors.lastname: Dick
authors.forename: O
authors.initials: O
authors.lastname: Schwenn
authors.forename: N
authors.initials: N
authors.lastname: Pfeiffer
mesh_terms: D001672:Biocompatible Materials; D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D019904:Polymethyl Methacrylate; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D006820:Hyaluronic Acid; D019904:Polymethyl Methacrylate