title: Dangling Lens Phacoemulsification: A Novel Technique for Near Complete Zonular Dehiscence.
abstract: OBJECTIVE
  To demonstrate a novel technique for the management of dangling lenses with near complete zonular dehiscence.
  
  
  METHODS
  A capsule-sparing combined anterior and posterior surgical approach for dangling lenses with severe zonular dehiscence is described. The surgical record of a patient who underwent phacoemulsification with "dangling lens technique" and in-the-bag intraocular lens (IOL) implantation was evaluated.
  
  
  RESULTS
  This technique was able to preserve the lens capsule, allowing freedom of IOL choice and an optimally reconstructed anterior segment. Placement of sutured capsular tension rings (CTRs) or segments provided long-term stabilization of the capsular bag and the bag-fixated posterior chamber IOL. No intraoperative or postoperative complications occurred during a follow-up of 3 years.
  
  
  CONCLUSIONS
  Combined microincisional pars plana vitrectomy, posterior levitation of the crystalline lens, phacoemulsification with sutured CTR, and in-the-bag IOL placement may be considered for surgical management of patients with nearly luxated, dangling, crystalline lenses.
authors.forename: Okan
authors.initials: O
authors.lastname: Toygar
authors.forename: Michael E
authors.initials: ME
authors.lastname: Snyder
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Riemann
mesh_terms: D002924:Ciliary Body; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000601:surgery*; D007908:Lens, Crystalline; D008022:Ligaments / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D019591:Pseudophakia / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy