scholarly journals An Unexpected Delayed Complication of Cataract Surgery: Retinal Detachment Secondary to Capsular Tension Ring Dislocation

2012 ◽  
Vol 3 (2) ◽  
pp. 266-269 ◽  
Author(s):  
Hande Taylan Sekeroglu ◽  
Elif Erdem ◽  
Kemal Yar ◽  
Nihal Demircan
1996 ◽  
Vol 80 (8) ◽  
pp. 689-693 ◽  
Author(s):  
J C Norregaard ◽  
H Thoning ◽  
T F Andersen ◽  
P Bernth-Petersen ◽  
J C Javitt ◽  
...  

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 35
Author(s):  
Juris Vanags ◽  
Renārs Erts ◽  
Guna Laganovska

Background and objectives: To evaluate anterior capsule opening (ACO) contraction and late intraocular lens (IOL) dislocation after cataract surgery in patients with weak or partially absent zonular support and assess methods of reducing these complications. Materials and methods: For this prospective study, we enlisted cataract surgery patients in our hospital with preoperative diagnoses of weak zonules. All patients received phacoemulsification surgery with implantation of a hydrophobic acrylic IOL and capsular tension ring (CTR). ACO reductions were measured for six months after enrolment. Data on late IOL dislocations were collected five years after enrolment of the last patient. Results: Fifty-three patients were enrolled from 2011 to 2015. Over the six-month active follow-up period, ACO area reduction was 23% in patients receiving CTRs of 11 mm diameter and 8% for patients with CTRs of 12 mm, with an overall mean of 15% reduction. Five years after the last patient was enrolled, seven patients (13%) had experienced late IOL-CTR-capsular bag dislocation. For these patients, the mean ACO reduction in the first six months of follow-up was 33%, including for those who had received neodymium-doped yttrium aluminum garnet (Nd: YAG) anterior capsulotomies. Conclusion: Use of hydrophobic acrylic lenses and CTR reduces ACO contraction, with rates comparable to those after cataract surgery without ocular comorbidity. Our patients experienced a relatively high rate of late IOL-CTR-capsular bag dislocation. However, dislocated complexes were easily repositioned and few patients required IOL exchange. Frequent visits are warranted to promptly detect late complications of cataract surgery in patients with weak zonular support.


Ophthalmology ◽  
2018 ◽  
Vol 125 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Sumita Agarkar ◽  
Varada Vinay Gokhale ◽  
Rajiv Raman ◽  
Muna Bhende ◽  
Gayathri Swaminathan ◽  
...  

Eye ◽  
2017 ◽  
Vol 31 (9) ◽  
pp. 1296-1301 ◽  
Author(s):  
V Gnana Jothi ◽  
S McGimpsey ◽  
J A Sharkey ◽  
W C Chan

2016 ◽  
Vol 100 (11) ◽  
pp. 1461-1465 ◽  
Author(s):  
Vasileios Petousis ◽  
Ahmed A Sallam ◽  
Richard J Haynes ◽  
C K Patel ◽  
Ajai K Tyagi ◽  
...  

2020 ◽  
Vol 11 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Juris Vanags ◽  
Guna Laganovska

A cataract surgery in both eyes was scheduled for an 81-year-old female patient. However, ophthalmic examination revealed marked iridodonesis, phacodonesis and pseudoexfoliative material on the surface of the lens in both eyes indicating weak zonules caused by pseudoexfoliation syndrome, which was more pronounced in the left eye. Cataract surgery was performed initially in the left eye by phacoemulsification. Additionally, iris hooks and capsular tension ring (CTR) were used to stabilize the capsular bag, and the haptic of the intraocular lens (IOL) was sutured to the iris at the end of the surgery. The same procedure except haptic suturing was performed in the right eye after 6 months. The left eye remained stable, whereas the right eye developed considerable anterior capsular contraction 2 months postoperatively. Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy was performed to treat the condition. Moreover, 3 years after the initial surgery, late IOL-CTR-capsular-bag complex dislocation developed in the right eye, and reposition surgery was performed. Three days after IOL-CTR-capsular-bag complex reposition surgery, endophthalmitis developed; the eye responded well to 1 mg intravitreal vancomycin treatment. IOL in the right eye remained stable 3 years postoperatively.


Sign in / Sign up

Export Citation Format

Share Document