V K Baranwal1, Santosh Kumar2, Avinash Mishra3, Ajay K Dutta4. 1. Senior Adviser (Ophthalmology), Command Hospital (CC), Lucknow, UP, India. 2. Classified Specialist (Ophthalmology), Command Hospital (SC), Pune-40, India. 3. Classified Specialist (Ophthalmology), Military Hospital Ahmedabad, India. 4. Commandant, Command Hospital (CC), Lucknow, India.
Abstract
BACKGROUND: The surgical management of cataract associated with extensive zonular loss presents a challenge for ophthalmic surgeon. Capsular Tension Ring (CTR) is commonly being used to stabilize the capsular bag in patients with zonular dialysis. CTR helps to avoid capsular collapse and vitreous presentation in AC during surgery and maintains the capsular bag, allowing the circular contour of the capsular bag, allowing intra ocular lens to be easily placed in the bag. The aim of the study was to know if there is any shift of IOL following use of CTR ring. METHOD: We did a Ultrabiomicroscopy (UBM) examination to find out shift in PCIOL in cases in which CTR ring and compared it with cases without CTR ring. RESULT: It was found out through UBM in this study that there is actually a posterior shift of PCIOL after use of CTR ring leading to hypermetropic correction needed after surgery. CONCLUSION: It is suggested that posterior shift of IOL following use of CTR should be kept in mind and the IOL implanted should be of + 1.0 to 2.0 D more than that calculated preoperatively.
BACKGROUND: The surgical management of cataract associated with extensive zonular loss presents a challenge for ophthalmic surgeon. Capsular Tension Ring (CTR) is commonly being used to stabilize the capsular bag in patients with zonular dialysis. CTR helps to avoid capsular collapse and vitreous presentation in AC during surgery and maintains the capsular bag, allowing the circular contour of the capsular bag, allowing intra ocular lens to be easily placed in the bag. The aim of the study was to know if there is any shift of IOL following use of CTR ring. METHOD: We did a Ultrabiomicroscopy (UBM) examination to find out shift in PCIOL in cases in which CTR ring and compared it with cases without CTR ring. RESULT: It was found out through UBM in this study that there is actually a posterior shift of PCIOL after use of CTR ring leading to hypermetropic correction needed after surgery. CONCLUSION: It is suggested that posterior shift of IOL following use of CTR should be kept in mind and the IOL implanted should be of + 1.0 to 2.0 D more than that calculated preoperatively.
Authors: Robert J Cionni; Robert H Osher; Daniela M V Marques; Frederico F Marques; Michael E Snyder; Scott Shapiro Journal: J Cataract Refract Surg Date: 2003-09 Impact factor: 3.351