ESCRS - PP05.05 - A Novel Approach To Lens Subluxation: Capsulaser And Cionni Ring Scleral Fixation Using Flanged Prolene Suture

A Novel Approach To Lens Subluxation: Capsulaser And Cionni Ring Scleral Fixation Using Flanged Prolene Suture

Published 2025 - 43rd Congress of the ESCRS

Reference: PP05.05 | Type: Free paper | DOI: 10.82333/des2-zt30

Authors: Adir Sommer* 1 , Margarita Safir 2 , Marcony Santhiago 3 , Waseem Nasser 1 , Dror Ben Ephraim Noyman 1 , Tzahi Sela 4 , Gur Munzer 4 , Igor Kaiserman 5 , Eyal Cohen 6 , Michael Mimouni 1

1Rambam Health Care Campus,Haifa,Israel, 2Rabin Medical Center,Petah Tikva,Israel, 3at University of Sao Paulo,Sao Paulo,Brazil, 4Care-Vision Laser Center,Tel Aviv,Israel, 5Barzilai Medical Center,Ashkelon,Israel, 6Tel Aviv Sourasky Medical Center,Tel Aviv,Israel

Purpose

To evaluate the efficacy and safety of the Capsulaser technique combined with Cionni ring fixation using flanged prolene suture in managing hereditary lens subluxation, aiming for improved surgical outcomes and long-term stability.

Setting

This study was conducted at Magrabi Eye hospital Jeddah KSA, a tertiary ophthalmology center with specialized care for complex anterior segment surgeries, including hereditary lens subluxation.

Methods

This prospective study included 14 eyes of 9 patients diagnosed with hereditary lens subluxation undergoing surgery with the Capsulaser system. The Capsulaser was used to create a precise anterior capsulotomy, ensuring accurate placement of the Cionni ring. Flanged prolene sutures (6-0) were used for scleral fixation to provide additional support. Intraoperative metrics such as surgical time, capsulotomy precision, and Cionni ring placement success were recorded. Postoperative outcomes, including centralization of the lens, refractive stability, visual acuity, and incidence of complications, were assessed over a follow-up period of18 months.

Results

The Capsulaser system achieved highly reproducible and perfectly centered capsulotomies in all cases, facilitating precise Cionni ring placement. Lens stabilization was successfully achieved in all cases. Significant improvement in best-corrected visual acuity  was observed at the first week postoperatively. No significant intraoperative complications occurred, and postoperative complications were limited to mild transient inflammation in 2 cases of cases. The use of flanged prolene sutures ensured robust scleral fixation, with no cases of ring decentration or suture-related issues during the follow-up.

Conclusions

Capsulaser, combined with Cionni ring fixation using flanged prolene sutures, represents an innovative and effective approach to managing hereditary lens subluxation. This technique ensures enhanced surgical precision, lens stability, and favorable visual outcomes, demonstrating its potential as a reliable option for addressing this challenging condition. Further studies with larger sample sizes are warranted to confirm these findings.