RESUMEN
AIM: To evaluate the clinical results of capsular tension ring (CTR) implantation in phacoemulsification for eyes with congenital lens subluxation.METHODS: This study comprised 18 patients (31 eyes) with congenital ectopia lentis.All patients received phacoemulsification with CTR and intraocular lens (IOL) implantation.Visual acuity before and after surgery were examined.IOL decentration were measured with Image-Pro Plus image processing software.The complications were also recorded preoperatively and postoperatively.RESULTS: Uncorrected vision of all eyes increased after surgery, and all cases had different degree of IOL decentration after surgery.Two eyes received CTR scleral fixation 3mo after surgery because the IOL decentration aggravated during the follow-up period.CONCLUSION: Phacoemulsification with CTR and IOL implantation is effective and safe for congenital lens subluxation.The implantation of CTR increase the stability of the capsular bag, improve the safety of surgery, and maintain the right position of IOL.CTR scleral fixation is a effective supplement for progressive cases.
RESUMEN
PURPOSE: The purpose of this study was to report an exceptional case of a postponed closure of a postoperative macular hole. METHODS: A 60-year-old woman received a diagnosis of idiopathic macular hole after she suffered decreased vision in her left eye for 3 weeks. She underwent a pars plana vitrectomy, fluid-air exchange, and room air tamponade with face down positioning for 5 days, without internal limiting membrane peeling. Optical coherence tomography scans were performed at 3 days, 3 months, and 6 months after surgery. RESULTS: Macular hole did not achieve closure until 6 months after surgery. CONCLUSION: Postponed closure in a case of a postoperative macular hole is rare. This report shows that idiopathic macular hole, which does not close immediately after surgery, still has the possibility to achieve closure.