Using a Capsular Tension Ring (CTR) Inserter for CTR Explantation in Cases of Posteriorly Dislocated Intraocular
Matthew N Henderson1, Hayden A Masia2, Jonathan L Prenner1
1NJRetina, Department of Ophthalmology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; and.
Retina (Philadelphia, Pa.)
|February 2, 2023
Summary
Dislocated capsular tension rings (CTRs) in the vitreous cavity can be safely and efficiently removed using a CTR inserter. This technique simplifies explantation of intraocular lens-CTR-capsule complexes.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Dislocated capsular tension rings (CTRs) within the vitreous cavity pose explantation challenges.
- Traditional methods like bimanual techniques or cutting CTRs can be complex and carry risks.
Purpose of the Study:
- To present a novel and efficient method for explanting dislocated capsular tension rings (CTRs).
- To describe the use of a CTR inserter for removing dislocated intraocular lens (IOL)-CTR-capsule complexes.
Main Methods:
- A retrospective case series of three patients with dislocated IOL-CTR-capsule complexes.
- Utilized a CTR inserter through a clear corneal incision for CTR explantation.
Main Results:
- Successful and safe explantation of CTRs was achieved in all three cases.
- The CTR inserter facilitated retraction of the CTR into its shaft while maintaining complex stability.
- No intraoperative complications were observed during CTR removal.
Conclusions:
- The CTR inserter offers a simple, safe, and efficient approach for removing dislocated CTRs from the vitreous.
- Increased awareness and adoption of this technique are recommended for ophthalmic surgeons.
