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Management of the subluxated lens with using cionni tension ring

Poster Details

First Author: S.Barman TURKEY

Co Author(s):    A. Ozcan              

Abstract Details

Purpose:

Reporting a case with using Cionni capular tension ring and intraocular lens implantation after phacoemulsification in a patient with subluxated lens.

Setting:

Cukurova University School Of Medicine Department Of Ophtalmology

Methods:

42 years old female patient came with complaint of vision loss and pain. Best visual acuity was 1 / 10. In the ophtalmological examination there was bilateral subluxated lens with 280 degree loss of zonular support. Also increased intraocular pressure had been found out. Posterior segment examination was normal. She had no any systemic medical problems.

Results:

First increased the intraocular pressure was regulated with medically . Then, patient had phacoemulsification with implantation of Cionni tension ring and foldable intraocular lens. Cionni tension ring were sutured to sclera using 10.0 polipropilen monoflaman suture (PC-9) from their eyelets without violating the integrity of capsular bag. Postoperative best visual acuity significantly better ( 7/10).

Conclusions:

Clinical evaluation for patients with subluxated lens begins with a through family history, extensive clinical examination, and appropriate referral to medical specialists to find out potential metabolic and systemic abnormalities. The surgical management of subluxated lens can be challenging due to zonular weakness. Implantation of Cionni capsular ring in patients with congenitally subluxated lens is a safe pocedure and resulted in centration of capsular bag and intraocular lens.

Financial Disclosure:

NONE

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