Phacoemulsification with combination of CTR and Iris Hook in Subluxated Cataract

Authors

  • Muhammad Abdurrauf
  • Dicky Hermawan

DOI:

https://doi.org/10.35749/journal.v47i2.100291

Keywords:

Subluxated lens, secondary glaucoma, cataract, phacoemulsification

Abstract

Purpose: To report a management of challenging case of phacoemulsification in cataract with subluxated lens.

Methods: A 63 male patient referred to RSDS with secondary lens induced glaucoma and cataract with subluxation around 210O on left eye. Patient was planned to undergone Phacoemulsification with combination of CTR and Iris Hook for lens extraction.

Result: Postoperative result is satisfactory with minimal corneal edema. After 6 weeks of follow-up uncorrected vision is 5/8 with correction of S+0.25 became 5/5 and IOP is stable at 17 mmHg and the IOL was in placed in the bag and well centered.

Conclusion: Phacoemulsification with iris hooks combined with CTR is one of surgery option that is safe and widely attainable for cataract with subluxated lens.

Downloads

Download data is not yet available.

References

Murray AD. An Approach to Some As1. Jick SL, Beardsley TL, Brasington CR, Buznego C, Grostern RJ, Park L, et al., ed.

Lens and cataract BCSC 2019-2020. 2019–2020 ed. San Francisco: American Academy of Ophthalmology; 2019: 92, 207-210.

Luo L, Li M, Zhong Y, et al. Evaluation of secondary glaucoma associated with subluxated lens misdiagnosed as acute primary angle-closure glaucoma. J Glaucoma. Apr-May 2013;22(4):307-10.

Assia EI, Ton Y, Michaeli A. Capsule anchor to manage subluxated lenses: Initial clinical experience. J Cataract Refract Surg. 2009 Aug;35(8):1372-9.

Cionni RJ, Osher RH, Marques DMV, Marques FF, Snyder ME, Shapiro S. Modified capsular tension ring for patients with con- genital loss of zonular support. J Cataract Refract Surg 2003; 29:1668– 1673

Cionni RJ, Osher RH. Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg 1998; 24:1299–1306

Hasanee K, Ahmed KII. Capsular tension rings: update on endocapsular support devices. Ophthalmol Clin North Am 2006; 19(4):507–519

Hasanee K, Butler M, Ahmed K II. Capsular tension rings and related devices: current concepts. Curr Opin Ophthalmol 2006; 17:31–41.

Santoro S, Sannace C, Cascella MC, Lavermicocca N. Subluxated lens: phacoemulsification with iris hooks. J Cataract Refract Surg 2003; 29:2269– 2273

Kopsachilis N, Carifi G. Phacoemulsification using 8 flexible iris hooks in a patient with a short eye, small pupil, and phacodonesis. J Cataract Refract Surg. 2014;40(9):1408-1411. doi:10.1016/j.jcrs.2014.07.009

Chang DF. Phacoemulsification in high- risk cases. In: Wallace RB III, ed, Refractive Cataract Surgery and Multifocal IOLs. Thorofare, NJ, Slack, 2001; 121–136

HoffmanRS,SnyderME,DevganU,etal. Management of the subluxated crystalline lens. J Cataract Refract Surg. 2013;39(12):1904-1915. doi:10.1016/j.jcrs.2013.09.005

CheeSP,JapA.Managementoftraumatic severely subluxated cataracts. Am J Ophthalmol. 2011;151:866–871

Ma X & Li. Capsular tension ring implantation after lens extraction for management of subluxated cataracts. Int J Clin Exp Pathol. 2014; 7(7): 3733–3738.

Buttanri, I. B., Sevim, M. S., Esen, D., Acar, B. T., Serin, D., & Acar, S. . Modified capsular tension ring implantation in eyes with traumatic cataract and loss of zonular support. J Cataract Refract Surg. 2012: 38(3), 431– 436.

Downloads

Published

2021-08-30

How to Cite

Abdurrauf , M. ., & Hermawan, D. . (2021). Phacoemulsification with combination of CTR and Iris Hook in Subluxated Cataract. Ophthalmologica Indonesiana, 47(2), 7-11. https://doi.org/10.35749/journal.v47i2.100291