Surgical strategies for the management of zonular compromise

被引:46
作者
Blecher, Mark H. [1 ]
Kirk, Matthew R. [2 ]
机构
[1] Wilmer Eye Inst, Philadelphia, PA 19148 USA
[2] Eye Care La Jolla, La Jolla, CA USA
关键词
capsular support; capsular tension ring; zonular instability;
D O I
10.1097/ICU.0b013e3282f2ccc8
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of review To evaluate new surgical treatment of zonular instability during cataract surgery. Recent findings The increased risk of complications associated with zonular compromise during cataract surgery has led to development of the capsular tension ring. More recently, the modified capsular tension ring and capsular tension segment have been introduced, allowing improved capsular stability and intraocular lens centration by scleral-suture fixation. Capsule support hooks also have a role in capsular stabilization. Summary When faced with zonular instability, the increased availability and use of capsular support devices allow for improved safety and outcome in cataract surgery.
引用
收藏
页码:31 / 35
页数:5
相关论文
共 34 条
  • [1] Optimal timing of capsular tension ring implantation: Miyake-Apple video analysis
    Ahmed, IIK
    Cionni, RJ
    Kranemann, C
    Crandall, AS
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2005, 31 (09) : 1809 - 1813
  • [2] Surgical repositioning of dislocated capsular tension rings
    Ahmed, IIK
    Chen, SH
    Kranemann, C
    Wong, DT
    [J]. OPHTHALMOLOGY, 2005, 112 (10) : 1725 - 1733
  • [3] Fish-tail technique for capsular tension ring insertion
    Angunaweia, Romesh I.
    Little, Brian
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2007, 33 (05) : 767 - 769
  • [4] Capsular tension ring implantation after capsulorhexis in phacoemulsification of cataracts associated with pseudoexfoliation syndrome -: Intraoperative complications and early postoperative findings
    Bayraktar, S
    Altan, T
    Küçüksümer, Y
    Yilmaz, ÖF
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2001, 27 (10) : 1620 - 1628
  • [5] Management of a posteriorly dislocated endocapsular tension ring and a foldable acrylic intraocular lens
    Bhattacharjee, H
    Bhattacharjee, K
    Das, D
    Jain, PK
    Chakraborty, D
    Deka, S
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2004, 30 (01) : 243 - 246
  • [6] Effect of the Morcher capsular tension ring on refractive outcome
    Boomer, Jeffrey A.
    Jackson, David W.
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (07) : 1180 - 1183
  • [7] Anatomic evaluation of the Morcher capsular tension ring by ultrasound biomicroscopy
    Boomer, Jeffrey A.
    Jackson, David W.
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (05) : 846 - 848
  • [8] Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation
    Cionni, RJ
    Osher, RH
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1998, 24 (10) : 1299 - 1306
  • [9] Modified capsular tension ring for patients with congenital loss of zonular support
    Cionni, RJ
    Osher, RH
    Marques, DMV
    Marques, FF
    Snyder, ME
    Shapiro, S
    [J]. JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2003, 29 (09) : 1668 - 1673
  • [10] Prevention of posterior capsule opacification using capsular tension in cataract surgery ring for zonular defects
    D'eliseo, D
    Pastena, B
    Longanesi, L
    Grisanti, F
    Negrini, V
    [J]. EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2003, 13 (02) : 151 - 154