Scheimpflug imaging of bilateral foldable in-the-bag intraocular lens implantation assisted by a scleral-sutured capsular tension ring in Marfan's syndrome.
A 35-year-old white man with bilateral high myopia, astigmatism, subluxated crystalline lenses, and incipient cataract had phacoemulsification and implantation of a hydrophobic acrylic intraocular lens (IOL) (Alcon MA60BM) in both eyes. The subluxated capsular bag was stabilized and recentered using a scleral-fixated capsular tension ring (CTR) (type 1L, Morcher). Measured with Scheimpflug photography, the capsular bag and IOL were in a stable intraocular position during the 18-month follow-up. There were no major changes in refraction. Despite the sharp-edged IOL design, both eyes had posterior capsule opacification (PCO) 18 months after surgery that in 1 eye caused a decrease in visual acuity of more than 2 lines. High myopia and subluxated lenses may be treatable long-term with a scleral-fixated CTR and foldable IOL implantation; further evaluation of PCO is necessary.
Kohnen
Thomas
T
Johann Wolfgang Goethe University, Department of Ophthalmology, Frankfurt am Main, Germany. kohnen@em.uni-frankfurt.de
Baumeister
Martin
M
Bühren
Jens
J
D000180:Acrylic Resins; D000328:Adult; D001251:Astigmatism / Q000150:complications; D001672:Biocompatible Materials; D002386:Cataract / Q000150:complications / Q000628:therapy; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007906:Lens Subluxation / Q000150:complications / Q000601:surgery; D007910:Lenses, Intraocular; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D009216:Myopia / Q000150:complications; D018918:Phacoemulsification; D010781:Photography / Q000379:methods; D019736:Prostheses and Implants; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques
D000180:Acrylic Resins; D001672:Biocompatible Materials