Skip to main content
Log in

The preventive effect of capsular tension ring in phacoemulsification of senile cataracts with pseudoexfoliation

  • Original Article
  • Published:
Annals of Ophthalmology

Abstract

We evaluated the preventive role of the capsular tension ring (CTR) in zonular and capsular complications in the phacoemulsification surgery of cataracts with pseudoexfoliation (PEX) in two groups of eyes with senile cataract associated with PEX, with (Group A) or without (Group B) CTR implantation. CTR implantation did not prove as effective as expected in preventing the zonulo-capsular complications. Contradictory to the significant increase of intracapsular intraocular lens (IOL) implantation rate, post-operative visual acuity did not improve in the same value.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Drolsum L, Haaskjold E, Davanger M. Results and complications after extracapsular cataract extraction in eyes with pseudoexfoliation syndrome. Acta Ophthalmol 1993;71:771–776.

    Article  CAS  Google Scholar 

  2. Alfaiate M, Leite E, Cunha-Vaz JG. Prevalence and surgical complications of pseudoexfoliation syndrome in Portuguese patients with senile cataract. J Cataract Refract Surg 1996;22:972–976.

    PubMed  CAS  Google Scholar 

  3. Fine IH, Hoffman RS. Phacoe mulsification in the presence of pseudoexfoliation: challenges and options. J Cataract Refract Surg 1997;23:160–165.

    PubMed  CAS  Google Scholar 

  4. Drolsum L, Hasskjold E, Sandvig K. Phacoemulsification in eyes with pseudoexfoliation. J Cataract Refract Surg 1998;24:787–792.

    PubMed  CAS  Google Scholar 

  5. Conway RM, Schlotzer-Schrehardt U, Kuchle M, Naumann GO. Pseudoexfoliation syndrome: a pathological manifestation of relevance to intraocular surgery. Clin Exp Ophthalmol 2004;32:199–210.

    Article  Google Scholar 

  6. Menapace R, Findl O, Georgopoulos M, et al. The capsular tension ring: design, applications, and techniques. J Cataract Refract Surg 2000;26:898–912.

    Article  PubMed  CAS  Google Scholar 

  7. Naumann GOH, Schlotzer-Schrehardt U, Kuchle M. Pseudoexfoliation syndrome for comprehensive ophthalmologist: intraocular and systemic manifestation. Ophthalmology 1998;105:951–968.

    Article  PubMed  CAS  Google Scholar 

  8. Shastri L, Vasavada A. Phacoemulsification in Indian eyes with pseudoexfoliation syndrome. J Cataract Refract Surg 2001;27:1629–1637.

    Article  PubMed  CAS  Google Scholar 

  9. Nagashima RJ. Decreased incidence of capsule complications and vitreous loss during phacoemulsification in eyes with pseudoexfoliation syndrome. J Cataract Refract Surg 2004;30:127–131.

    Article  PubMed  Google Scholar 

  10. Jacob S, Agarwal A, Agarwal A et al. Efficacy of capsular tension ring for phacoemulsification in eyes with zonular dialysis. J Cataract Refract Surg 2003;29:315–321.

    Article  PubMed  Google Scholar 

  11. Lee DH, Lee HY, Lee KH, et al. Effect of capsular tension ring on the shape of the capsular bag and opening and the intraocular lens. J Cataract Refract Surg 2001;27:452–456.

    Article  PubMed  CAS  Google Scholar 

  12. Lee DH, Shin SC, Joo CK. Effect of capsular tension ring on intraocular lens decentration and tilting after cataract surgery. J Cataract Refract Surg 2002;28:843–846.

    Article  PubMed  Google Scholar 

  13. Bayraktar S, Altan T, Kucuksumer Y, Yilmaz OF. Capsular tension ring implantation after capsulorhexis in phacoemulsification of cataracts associated with pseudoexfoliation syndrome. J Cataract Refract Surg 2001;27:1620–1628.

    Article  PubMed  CAS  Google Scholar 

  14. Ahmed I, Cionni RJ, Kranemann C, Crandall AS. Optimal timing of capsular tension ring implantation: Miyake-Apple video analysis. J Cataract Refract Surg 2005;31:1809–1813.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Selim Kocabora MD.

Additional information

Disclosure The authors have stated that they do not have a significant financial, interest or other relationship with any product manufacturer or provider of services discussed in this article. The authors also do not discuss the use of off-label products, which includes unlabeled, unapproved, or investigative products or devices.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kocabora, M.S., Gulkilik, G., Yilmazli, C. et al. The preventive effect of capsular tension ring in phacoemulsification of senile cataracts with pseudoexfoliation. Ann Ophthalmol 39, 37–40 (2007). https://doi.org/10.1007/BF02697324

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02697324

Keywords

Navigation