We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked i...

Purpose: Capsular related complications may occur during and/or following cataract s”rPew. Methods: We used endocapsular PUMA rings (EPR) to prevent such complications in eyes with pre or peroperative zonular c’ehiscence, high myopic eyes and eyes witl: exfoliation syndrome which have weak zonoles. EPR can be implanted easily through the phaco-incision before aspiration of the cortex or just be...

Purpose: Capsular related complications may occur during and/or following cataract s”rPew. Methods: We used endocapsular PUMA rings (EPR) to prevent such complications in eyes with pre or peroperative zonular c’ehiscence, high myopic eyes and eyes witl: exfoliation syndrome which have weak zonoles. EPR can be implanted easily through the phaco-incision before aspiration of the cortex or just be...

Purpose: Capsular related complications may occur during and/or following cataract s”rPew. Methods: We used endocapsular PUMA rings (EPR) to prevent such complications in eyes with pre or peroperative zonular c’ehiscence, high myopic eyes and eyes witl: exfoliation syndrome which have weak zonoles. EPR can be implanted easily through the phaco-incision before aspiration of the cortex or just be...

Purpose: Capsular related complications may occur during and/or following cataract s”rPew. Methods: We used endocapsular PUMA rings (EPR) to prevent such complications in eyes with pre or peroperative zonular c’ehiscence, high myopic eyes and eyes witl: exfoliation syndrome which have weak zonoles. EPR can be implanted easily through the phaco-incision before aspiration of the cortex or just be...

Cataract surgery in an eye with absent or weak zonules presents unique challenges for the anterior segment surgeon. With the introduction of the capsular tension ring (CTR), and its several modified versions, the ability to perform safe cataract extraction with the implantation of a stable and well-centered intraocular lens (IOL) within the capsular bag has increased substantially. In order to ...

Here we present 2 cases of capsule contraction syndrome (CCS). In both cases, a hydrophilic acrylic Akreos MI60 (Bausch and Lomb) intraocular lens (IOL) was implanted in the capsular bag through microincision cataract surgery, and the literature on the subject is reviewed. Since CCS has been described after the implantation of every IOL type, it is unlikely that the Akreos MI60 chemical and phy...

PURPOSE To report findings that could suggest an elliptical shape of the capsular bag. METHODS Five eyes of three patients with axial length greater than 24 mm underwent phacoemulsification cataract surgery with plate-haptic multifocal toric intraocular lens (IOL) implantation oriented in the vertical meridian. RESULTS In all cases, correct orientation of the IOLs was verified 30 minutes af...

UNLABELLED We describe the use of the capsular anchor (AssiAnchor) to manage a subluxated intraocular lens (IOL) in the capsular bag. The anchor comprises 2 prongs that hold the anterior lens capsule and a central rod that is sutured to the scleral wall, enabling centration of the IOL-capsular bag complex. Six pseudophakic patients presenting with subluxated posterior chamber IOLs in the capsul...

We experienced a case of intraocular lens (IOL) luxation with the capsular bag after vitrectomy. The case was a 66-year-old female in whom an IOL was implanted one year after surgery for giant tear retinal detachment using silicone oil. Four years after the implantation surgery, the patient suffered subluxation of the IOL with the capsular bag. Examinations of the luxated IOL with the capsular ...