Capsule fixation device for cataract surgery.
OBJECTIVE
The authors present a patient with Marfan syndrome who underwent cataract surgery using a novel device for fixation of capsular bag.


METHODS
The capsule fixation device (CFD) is poly(methyl methacrylate) arch with double-armed bent hook that can be introduced into the anterior chamber through the clear corneal incision, placed with a rest on the capsule equator, and sutured to the sclera without injury of the capsular bag. A 16-year-old patient with Marfan syndrome underwent consecutive phacoemulsification with in-the-bag intraocular lens and CFD implantation on both eyes.


RESULTS
During the surgery handling the CFD was technically simple with good visualization. The preoperative best-corrected visual acuity was 0.3 and 0.1 and postoperatively 0.6 and 0.8 in the right and left eyes, respectively. The postoperative follow-up was over 9 months.


CONCLUSIONS
Use of the CFD was successful in a case of lens subluxation with no complications observed during the period of follow-up.
Sergienko
N M
NM
Department of Ophthalmology, National Medical Academy of Postgraduate Education, Kiev, Ukraine.
Kondratenko
Y N
YN
Yakimov
A K
AK
D000293:Adolescent; D004479:Ectopia Lentis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D008382:Marfan Syndrome / Q000150:complications; D018918:Phacoemulsification / Q000295:instrumentation* / Q000379:methods; D019904:Polymethyl Methacrylate; D019736:Prostheses and Implants; D014792:Visual Acuity
D019904:Polymethyl Methacrylate