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Endocapsular ring approach to the subluxed cataractous lens
1Cincinnati Eye Institute, Ohio 45242, USA.
Journal of Cataract and Refractive Surgery
|May 1, 1995
Summary
A poly(methyl methacrylate) endocapsular ring stabilizes the capsular bag during cataract surgery for patients with extensive zonular dialysis. This technique facilitates uncomplicated intraocular lens implantation and excellent visual outcomes.
Area of Science:
- Ophthalmology
- Anterior Segment Surgery
- Cataract Surgery
Background:
- Cataract surgery with extensive zonular dialysis poses significant challenges for anterior segment surgeons.
- The introduction of poly(methyl methacrylate) endocapsular rings in 1993 offered a method for capsular bag stabilization.
Observation:
- This study describes the application of an endocapsular ring in four patients undergoing phacoemulsification and intraocular lens (IOL) implantation.
- The patients presented with extensive traumatic or congenital zonular dialysis, necessitating capsular bag support.
Findings:
- The endocapsular ring effectively expanded and stabilized the capsular bag, aiding cortical aspiration.
- Uncomplicated intraocular lens implantation was achieved in all cases.
Implications:
- The use of endocapsular rings is a viable surgical strategy for managing cataracts with extensive zonular dialysis.
- Excellent visual acuity and IOL centration were maintained during 4-10 months of follow-up, indicating a safe and effective procedure.