gms | German Medical Science

27. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

11.04. - 13.04.2013, Heidelberg

Cataract surgery in hereditary and acquired zonular deficiency with the modified CTR

Meeting Abstract

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  • Boris E. Malyugin - Moskau/RUS

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 27. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Heidelberg, 11.-13.04.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgii056

doi: 10.3205/13dgii056, urn:nbn:de:0183-13dgii0564

Published: April 5, 2013

© 2013 Malyugin.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Patients with generalized zonular weakness and/or zonular dialysis presents significant challenges for the cataract surgeon. One can expect increased risk of capsular tears, vitreous prolapse, IOL instability and “IOL-capsular bag” complex decentration postoperatively. Different devices can be used in patients with localized zonular defects. Malyuginmodified CTR (Morcher GmbH, Germany) is designed to center the subluxated lens capsule by securing it to the scleral wall. The basic idea of this device consists of moving the fixation element to the very tip of the ring. This makes the device completely retractable into the injector tube. Also the curved portion of the CTR slides along the equator of the capsular bag during its injection. Thus the risk of perforating the capsular fornix with the tip of the CTR is completely eliminated. In this presentation surgical tips in managing patients with compromised zonules utilizing different capsular supporting devices will be highlighted.