Using a Capsular Tension Ring (CTR) Inserter for CTR Explantation in Cases of Posteriorly Dislocated Intraocular Lens-CTR-Capsule Complex.
Journal
Retina (Philadelphia, Pa.)
ISSN: 1539-2864
Titre abrégé: Retina
Pays: United States
ID NLM: 8309919
Informations de publication
Date de publication:
01 Dec 2023
01 Dec 2023
Historique:
medline:
22
11
2023
pubmed:
3
2
2023
entrez:
2
2
2023
Statut:
ppublish
Résumé
Explantation of a dislocated capsular tension ring (CTR) from the vitreous cavity can be challenging, typically requiring a bimanual hand-shake technique or cutting the CTR into segments. We present three cases of dislocated intraocular lens (IOL)-CTR-capsule complexes in which CTRs were explanted efficiently and safely by using a CTR inserter (CTR-I) through a clear corneal incision. Retrospective case series. Capsular tension rings were successfully explanted by freeing the eyelet of the CTR from the capsule, engaging it with the CTR-I hook and retracting the CTR into the device's shaft while maintaining the entire IOL-CTR-capsule complex in a safe position behind the iris plane. No complications of the procedure were observed in all three cases. All patients had subsequent uneventful IOL exchange through sutureless scleral fixation during the same surgery. The CTR inserter provides a simple and efficient approach to CTR removal from IOL-CTR-capsule complexes dislocated into the vitreous cavity. Greater awareness of this technique among providers is needed.
Identifiants
pubmed: 36730904
doi: 10.1097/IAE.0000000000003659
pii: 00006982-990000000-00192
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2080-2083Références
Bhattacharjee H, Bhattacharjee K, Das D, et al. Management of a posteriorly dislocated endocapsular tension ring and a foldable acrylic intraocular lens. J Cataract Refract Surg 2004;30:243–246.
Lang Y, Fineberg E, Garzozi HJ. Vitrectomy to remove a posteriorly dislocated endocapsular tension ring. J Cataract Refract Surg 2001;27:474–476.
Oner HF, Kocak N, Saatci OA. Dislocation of capsular bag with intraocular lens and capsular tension ring. J Cataract Refract Surg 2006;32:1756–1758.
Ahmed IIK, Chen SH, Kranemann C, Wong DT. Surgical repositioning of dislocated capsular tension rings. Ophthalmology 2005;112:1725–1733.
Ma PE, Kaur H, Petrovic V, Hay D. Technique for removal of a capsular tension ring from the vitreous. Ophthalmology 2003;110:1142–1144.
Bopp S, Lucke K. Chronic cystoid macular edema in an eye with a capsule defect and posteriorly dislocated capsular tension ring. J Cataract Refract Surg 2003;29:603–608.
Jain R, Bakde D, Newland H. Surgical technique for removal of posteriorly dislocated capsular tension ring. Retina 2008;28:1355–1356.
Agarwal A, Trivedi RH, Jacob S, et al. Management of posteriorly dislocated capsular tension ring with vitrectomy using a “chandelier” illumination system. Clin Ophthalmol 2007;1:285–288.
Tarigopula S, Pokroy R, Desai UR, et al. Surgical technique for removal of a capsular tension ring from the vitreous cavity. Retin Cases Brief Rep 2013;7:121–122.
Stem MS, Wa CA, Todorich B, et al. 27-Gauge sutureless intrascleral fixation of intraocular lenses with haptic flanging: short-term clinical outcomes and a disinsertion force study. Retina 2019;39:2149–2154.
Bonnell AC, Mantopoulos D, Wheatley HM, Prenner JL. Surgical technique for sutureless intrascleral fixation of a 3-piece intraocular lens using a 30-gauge needle. Retina 2019;39:S13–S15.