Capsular Tension Ring Complications

If the area of disruption is three clock hours or less you can proceed to put a capsular tension ring into the bag followed by the implant and you don t have to do anything further.

Capsular tension ring complications. This problem is most often seen in cases of trauma pseudoexfoliation syndrome previous ocular surgery eg vitrectomized eyes mature. Complications resulting from poor patient selection include complete dislocation of the lens into the vitreous cavity or postop iol dislocation due to significant weakness pre surgery or progression of zonulysis. Absolute contraindications for a capsular tension ring are the presence of anterior or posterior capsular tears or any concern for bag compromise. Capsular tension rings are flexible plastic loops which are designed to exert outward force at the capsular bag equator to help distribute forces and help su.

A capsular tear may propagate due to the centrifugal forces exerted by the ring on the capsular bag. None of the authors has a financial or proprietary interest in any material or method mentioned. Some patients such as those with marfan syndrome or severe exfoliation syndrome can have zonular weakness all the way around he continues. Identifying zonular weakness during the preoperative examination will reduce the likelihood of intraoperative complications.

Capsular tension rings ctrs well known to ophthalmic surgeons are c shaped devices used to stabilize the capsular bag of the crystalline lens during cataract surgery in eyes with zonular weakness. Use of the ctr produced good postoperative visual outcome and reduced iol decentration and or tilt. The morcher capsular ten sion ring is a prosthetic device designed to stabilize the crystalline lens capsule in the presence of weak or partially absent zonules in adult patients under going cataract extraction with an intraocular lens. The most common complications were pco iop elevation and suture breakage.

The tool is now widely used as an integral step in cases where there is a loss of zonular integrity. In conclusion dislocation of the capsular tension ring is a rare and unexpected complication of cataract surgery. Capsular tension rings 1 question.