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Surgical management of intraocular lens implantation following removal of Soemmering ring contents

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Session Details

Session Title: Cataract Surgery Paediatric/Complications/Management

Session Date/Time: Monday 09/10/2017 | 16:30-18:00

Paper Time: 17:06

Venue: Room 4.1

First Author: : V.Figueiredo Silva BRAZIL

Co Author(s): :    P. De Paula Yoneda   A. Lottelli Rodrigues                 

Abstract Details


Discuss and demonstrate surgical techniques to approach aphakia in children when secondary intraocular lens implantation is indicated.


All surgeries were performed in the Sadalla Amin Ghanem eye hospital - Joinville - Santa Catarina - Brazil


Aphakic children eligible for the implant received through the opening of the Soemmering ring a single piece lens implant in the capsular bag or three pieces lens implant in iriane sulcus if there was alteration of the posterior capsular remnants. Two perilimbar incisions in clear cornea were performed. The leaflets of the anterior and posterior capsule were seperated using Microincision Forceps. Ring aspiration with separate irrigation and aspiration pieces, each for one of the incisions (10 and 2 h). Rigorous aspiration of lens epithelial cells adhered to the edge of the capsulorhexis. Anterior vitrectomy performed by CENTURION® Vision System.


The peri and postoperative analysis included visual acuity, refraction, intraocular pressure, implant stability, ocular biometry. The operative technique demonstrates a satisfactory result when all the ring is opened and the contents aspirated, which avoids peripheral prolapse and angular apposition of the iris to the implant. The video attached shows ways of approach, technical difficulties, effective position of the implant and helps surgeons to capture experiences.


The technique shows reproducible but it lacks previous training and experience in cataract surgery. In addition, more delicate materials are important for more effective surgery. When well indicated, the secondary implant presents a satisfactory result allowing the child a good visual acuity with a lower degree of optical correction.

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