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A rare complication related to combined use of capsule retractors and capsular tension rings

Poster Details

First Author: A.Ozcan TURKEY

Co Author(s):    B. Ulas                    

Abstract Details


To present a complication associated with capsular tension ring (CTR) implantation after placement of capsule retractors.


University of Cukurova, School of Medicine, Department of Ophthalmology, Adana-Turkey


A 66-year-old man presented with progressive bilateral vision loss. He had no history of ocular trauma, and previous eye surgery. In ophthalmological examination bilateral large zonular deficiency had been noted in both eyes. The remaining ocular and medical history were unremarkable. Cataract extraction with IOL placement was performed in the right eye by the help of capsule retractors and CTR.


On attempted removal one of the capsule retractor, it was discovered that the CTR had passed through the retractor's distal loop. Additional gently manipulation and rotation of the CTR through the retractor’s distal loop was ended with atraumatic removal of the capsule retractor.


Though capsule retractors improve challenge of weak zonules during cataract surgery, the instrument itself may cause complications and unwanted problems when combined use with CTRs.

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