Phacoemulsification with combination of CTR and Iris Hook in Subluxated Cataract
Article Sidebar
-
Subluxated lens, secondary glaucoma, cataract, phacoemulsification
Abstract
Purpose: To report a management of challenging case of phacoemulsification in cataract with subluxated lens.
Methods: A 63 male patient referred to RSDS with secondary lens induced glaucoma and cataract with subluxation around 210O on left eye. Patient was planned to undergone Phacoemulsification with combination of CTR and Iris Hook for lens extraction.
Result: Postoperative result is satisfactory with minimal corneal edema. After 6 weeks of follow-up uncorrected vision is 5/8 with correction of S+0.25 became 5/5 and IOP is stable at 17 mmHg and the IOL was in placed in the bag and well centered.
Conclusion: Phacoemulsification with iris hooks combined with CTR is one of surgery option that is safe and widely attainable for cataract with subluxated lens.
Full text article
References
Murray AD. An Approach to Some As1. Jick SL, Beardsley TL, Brasington CR, Buznego C, Grostern RJ, Park L, et al., ed.
Lens and cataract BCSC 2019-2020. 2019–2020 ed. San Francisco: American Academy of Ophthalmology; 2019: 92, 207-210.
Luo L, Li M, Zhong Y, et al. Evaluation of secondary glaucoma associated with subluxated lens misdiagnosed as acute primary angle-closure glaucoma. J Glaucoma. Apr-May 2013;22(4):307-10.
Assia EI, Ton Y, Michaeli A. Capsule anchor to manage subluxated lenses: Initial clinical experience. J Cataract Refract Surg. 2009 Aug;35(8):1372-9.
Cionni RJ, Osher RH, Marques DMV, Marques FF, Snyder ME, Shapiro S. Modified capsular tension ring for patients with con- genital loss of zonular support. J Cataract Refract Surg 2003; 29:1668– 1673
Cionni RJ, Osher RH. Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg 1998; 24:1299–1306
Hasanee K, Ahmed KII. Capsular tension rings: update on endocapsular support devices. Ophthalmol Clin North Am 2006; 19(4):507–519
Hasanee K, Butler M, Ahmed K II. Capsular tension rings and related devices: current concepts. Curr Opin Ophthalmol 2006; 17:31–41.
Santoro S, Sannace C, Cascella MC, Lavermicocca N. Subluxated lens: phacoemulsification with iris hooks. J Cataract Refract Surg 2003; 29:2269– 2273
Kopsachilis N, Carifi G. Phacoemulsification using 8 flexible iris hooks in a patient with a short eye, small pupil, and phacodonesis. J Cataract Refract Surg. 2014;40(9):1408-1411. doi:10.1016/j.jcrs.2014.07.009
Chang DF. Phacoemulsification in high- risk cases. In: Wallace RB III, ed, Refractive Cataract Surgery and Multifocal IOLs. Thorofare, NJ, Slack, 2001; 121–136
HoffmanRS,SnyderME,DevganU,etal. Management of the subluxated crystalline lens. J Cataract Refract Surg. 2013;39(12):1904-1915. doi:10.1016/j.jcrs.2013.09.005
CheeSP,JapA.Managementoftraumatic severely subluxated cataracts. Am J Ophthalmol. 2011;151:866–871
Ma X & Li. Capsular tension ring implantation after lens extraction for management of subluxated cataracts. Int J Clin Exp Pathol. 2014; 7(7): 3733–3738.
Buttanri, I. B., Sevim, M. S., Esen, D., Acar, B. T., Serin, D., & Acar, S. . Modified capsular tension ring implantation in eyes with traumatic cataract and loss of zonular support. J Cataract Refract Surg. 2012: 38(3), 431– 436.
Authors
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
