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Method of capsular bag support in crystalline lens subluxation

Poster Details

First Author: C.Rosca ROMANIA

Co Author(s):    I. Tamasoi                    

Abstract Details

Purpose:

To highlight the role of capsular tension ring (CTR) and irrigating chopper in the management of a complicated situation �â�€�“ traumatic crystalline lens subluxation

Setting:

Oculens private clinic, Cluj-Napoca, Romania

Methods:

Management of subluxed crystalline lens is a challenge. The use of phacoemulsification with CTR have shown encouraging results. We present the case of a young male that addressed our service for decreased visual acuity following a car accident. Slit lamp examination revealed a 160 degrees crystalline lens subluxation. We decided to perform crystalline lens extraction

Results:

We performed extraction of the subluxed lens. Because of the presence of vitreous in the anterior chamber, the crystalline material was extracted using the vitrector. A 13 mm CTR was inserted before performing phacoemulsification. For improved anterior chamber stability we used an irrigating chopper. The instrument also acted as a capsular hook as we used the curved tip to have extra capsular support along the subluxed area. After completing phacoemulsification a one piece hydrophobic acrylic IOL was implanted in the bag. At one month follow-up visual acuity was 0.9, the capsular bag was stable and the intraocular lens well centered.

Conclusions:

The CTR helps in stabilizing the capsular bag and maintaining a good IOL centration. The use of an irrigating chopper is of great help in such cases as it improves chamber stability, compensates surge and gives extra capsular support.

Financial Disclosure:

NONE

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