Summary:
The authors present results of 32 operations with capsular tension ring performed
in eyes with zonular dehiscence. There were 14 women (50%) and 14 men (50%),
altogether 28 patients (32 eyes). Mean patient age was 47.1 years (range 22 - 89
years). The reason for zonular weakness was trauma in 15 eyes (46.9%), Marfan’s
syndrome in 8 eyes (25.0%), pseudoexfoliation syndrome in 6 eyes (18.7%) and high
myopia in 3 eyes (9.4%). Anterior vitrectomy was done if the vitreous appeared in
the anterior chamber. Early postoperative complications were fibrinoid reaction
in 2 eyes (6.3%), intraocular pressure elevation in 5 eyes (15.6%), hyphaema in 2
eyes (6.3%). Best corrected visual acuity was 0.5 or better in 18 eyes (56.3%) on the
first postoperative day and in 17 eyes (53.1%) at the time of the last examination.
Our results have shown the high efficiency of the capsular tension ring in
managing zonular problems during cataract surgery.
Key words:
capsular tension ring, zonular dialysis, subluxation of the lens
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