Reform capsular tension ring

ABSTRACT

Cataract surgery, especially by phacoemulsification, can be very difficult if the cataract has weak zonular attachments as seen in patients following trauma in Marfan's, Ehlers-Danlos and Weill-Marchesani syndromes. Failure to recognise this weakness in the zonules can lead to the disastrous drop nucleus which may ultimately lead to aggressive vitreous reaction and eventual blindness. The placement of a capsular tension ring in such patients will allow for better stability of the cataract during surgery, hence minimizing intraoperative complications and ease in intraocular lens insertion. The technique for placement and complications will be discussed.(AU)