Surgical treatment of a dislocated intraocular lens-capsular bag-capsular tension ring complex.
We describe a surgical technique for managing late dislocation of an intraocular lens-capsular bag-capsular tension ring (IOL-CB-CTR) complex. Two 10-0 polypropylene sutures are placed transsclerally over and under the CTR through the anterior and posterior capsules to capture the CTR, which then is retracted and sutured through the sclera. The same maneuver is performed 180 degrees away. This simple, easy, effective procedure can be performed with a small corneal incision and does not require extraction of the IOL-CB complex. Although the CTR does not completely prevent IOL-CB dislocation, it provides the possibility of suturing the IOL-CB to the sulcus without replacing the IOL.
Moreno-Montañés
Javier
J
Departamento de Oftalmología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain. jmoreno@unav.es
Heras
Henar
H
Fernández-Hortelano
Ana
A
D000368:Aged; D005548:Foreign-Body Migration / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011126:Polypropylenes; D011183:Postoperative Complications; D012086:Reoperation; D012590:Sclera / Q000601:surgery; D013536:Suture Techniques; D013537:Sutures
D011126:Polypropylenes