Preventing posterior capsular opacification with an endocapsular equator ring in a young human eye: 2-year follow-up.
OBJECTIVE
To report the results of a specially designed closed ring with a square edge (endocapsular equator ring) in a young patient to prevent posterior capsular opacification.


METHODS
One eye of a 22-year-old atopic patient underwent endocapsular equator ring implantation with a 1-piece polymethylmethacrylate intraocular lens immediately after phacoemulsification at Hara Eye Hospital on January 10, 2003. The solid flexible silicone ring has an outer diameter of 9.0 mm, is 1.0 mm wide and 1.0 mm thick, and has a square edge. The loops of the intraocular lens are fixed in the inner groove of the ring. The contralateral control eye underwent phacoemulsification and implantation with a conventional intraocular lens implantation. The Hayashi method was used to determine the posterior capsular opacification score.


RESULTS
The ring retained the transparency of the entire posterior capsule. Two years postoperatively, the posterior capsular opacification score in the central area was 3.75 in the ring eye and 15.25 in the control eye, which underwent Nd:YAG laser capsulotomy 2.5 years postoperatively.


CONCLUSIONS
An endocapsular equator ring effectively prevents posterior capsular opacification in a young patient with atopic cataracts.
Hara
Tsutomu
T
Hara Eye Hospital, Utsunomiya, Japan. hara-eye@sea.ucatv.ne.jp
Hara
Takeshi
T
Hara
Takako
T
D000328:Adult; D002386:Cataract / Q000517:prevention & control*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000295:instrumentation*; D011183:Postoperative Complications / Q000517:prevention & control; D011379:Prognosis; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D012826:Silicone Elastomers; D014792:Visual Acuity
D012826:Silicone Elastomers