title: Management of subluxated capsular bag-fixated intraocular lenses using a capsular anchor.
abstract: We describe the use of the capsular anchor (AssiAnchor) to manage a subluxated intraocular lens (IOL) in the capsular bag. The anchor comprises 2 prongs that hold the anterior lens capsule and a central rod that is sutured to the scleral wall, enabling centration of the IOL-capsular bag complex. Six pseudophakic patients presenting with subluxated posterior chamber IOLs in the capsular bag were operated on using the device. The anchor was used successfully in all cases, although in 2 cases only 1 prong was placed under the capsulorhexis edge. In 1 eye, 2 anchors were used 1 month apart following repeated traumatic zonular injury. The capsular bag holding the IOL remained centered and stable throughout the follow-up period. The anchoring device, which was originally designed to preserve the lens capsule and stabilize subluxated crystalline lenses, can also be used to treat subluxation of a capsular bag-fixated IOL.
  
  
  
  Dr. Assia is the inventor of the AssiAnchor, has a licensed patent of the anchor, and is consultant to Hanita Lenses. Dr. Lapid-Gortzak is a consultant to and speaker for Alcon Surgical, Inc., Hanita Lenses, Orca Surgical, and Sanoculis Ltd.; a speaker for Santen; and a consultant to Icon. Drs. Ton and Naftali have no financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Meir Medical Center (Ton, Assia), Kfar-Saba, affiliated with Sackler School of Medicine, Tel-Aviv University, Tel Aviv, and the Pade Medical Center (Naftali), Poria, affiliated with Faculty of Medicine in the Galilee Bar-Ilan University, Ramat-Gan, Israel; the Academic Medical Center, University of Amsterdam, Amsterdam, and the Retina Total Eye Care (Lapid-Gortzak), Driebergen, the Netherlands. Electronic address: yokrat.ton@gmail.com.
authors.forename: Yokrat
authors.initials: Y
authors.lastname: Ton
authors.affiliation: From the Meir Medical Center (Ton, Assia), Kfar-Saba, affiliated with Sackler School of Medicine, Tel-Aviv University, Tel Aviv, and the Pade Medical Center (Naftali), Poria, affiliated with Faculty of Medicine in the Galilee Bar-Ilan University, Ramat-Gan, Israel; the Academic Medical Center, University of Amsterdam, Amsterdam, and the Retina Total Eye Care (Lapid-Gortzak), Driebergen, the Netherlands.
authors.forename: Modi
authors.initials: M
authors.lastname: Naftali
authors.affiliation: From the Meir Medical Center (Ton, Assia), Kfar-Saba, affiliated with Sackler School of Medicine, Tel-Aviv University, Tel Aviv, and the Pade Medical Center (Naftali), Poria, affiliated with Faculty of Medicine in the Galilee Bar-Ilan University, Ramat-Gan, Israel; the Academic Medical Center, University of Amsterdam, Amsterdam, and the Retina Total Eye Care (Lapid-Gortzak), Driebergen, the Netherlands.
authors.forename: Ruth
authors.initials: R
authors.lastname: Lapid-Gortzak
authors.affiliation: From the Meir Medical Center (Ton, Assia), Kfar-Saba, affiliated with Sackler School of Medicine, Tel-Aviv University, Tel Aviv, and the Pade Medical Center (Naftali), Poria, affiliated with Faculty of Medicine in the Galilee Bar-Ilan University, Ramat-Gan, Israel; the Academic Medical Center, University of Amsterdam, Amsterdam, and the Retina Total Eye Care (Lapid-Gortzak), Driebergen, the Netherlands.
authors.forename: Ehud I
authors.initials: EI
authors.lastname: Assia
mesh_terms: D019923:Capsulorhexis; D006801:Humans; D007903:Lens Capsule, Crystalline; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007906:Lens Subluxation; D007910:Lenses, Intraocular; D018918:Phacoemulsification; D019591:Pseudophakia / Q000628:therapy*; D013536:Suture Techniques