Capsular tension ring for zonular dehiscence in combined phacoemulsification and pars plana vitrectomy with or without gas tamponade

Authors

  • Can YF Yuen Department of Ophthalmology, Caritas Medical Centre, Hong Kong.
  • Srinivas K Rao Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
  • Emmy YM Li Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
  • Benson TO Cheung Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong.

Abstract

We report the use of a capsular tension ring in 2 patients with zonular dehiscence who underwent combined phacoemulsification and pars plana vitrectomy with or without gas tamponade. In both cases, insertion of a capsular tension ring stabilized the capsular bag for phacoemulsification and allowed implantation of the foldable intraocular lens within the capsular bag. Intra- operatively, in one patient a small amount of air escaped into the anterior chamber, for which the capsular tension ring was gently massaged to reposition and expel the air. No air escaped into the anterior chamber in the other case. Postoperatively, the intraocular lens and capsular complex remained stable. Our cases showed that a capsular ten- sion ring may be a surgical option for managing patients with limited zonular dehiscence and involves combining phacoemulsification with pars plana vitrectomy.

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Published

2016-01-02

How to Cite

1.
Yuen CY, Rao SK, Li EY, Cheung BT. Capsular tension ring for zonular dehiscence in combined phacoemulsification and pars plana vitrectomy with or without gas tamponade. Hong Kong J Ophthalmol [Internet]. 2016Jan.2 [cited 2022Aug.13];15(1):35-7. Available from: https://hkjo.hk/index.php/hkjo/article/view/38

Issue

Section

Case Report