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First Author: Z.Biro HUNGARY
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To describe the surgical difficulties and challenges on an ectopic lens.
Departmnt of Ophthalmology, Medical University of Pécs, Hungary
A 10 year old girl with ectopic lens due to Marfan syndrome was operatied in general anaesthesia. Capsulorhexis was performed under cohesive OVD, followed by careful hydrodissection, and irigation-aspiration of the lens material. A Cionni capsulo tension ring was inserted and sutured to th eciliary sulcus, to center the capsurar bag. A posterior CCC combined with limited vitrectomy was performed before implantation of the PC-IOL into the capsular bag.
A well centered IOL and dramatically increased VA was seen already on the first postoperative day, and remained during the follow- up of one year.
Safe and successful cataract surgery can be performed with the help of a Cionni ring on an ectopic lens. Even PCCC and vitrectomy can be performed if needed due o the patient age.