ENDOCAPSULAR RING APPROACH TO THE SUBLUXED CATARACTSUS LENS

The surgical management of the cataract associated with extensive zonu lar dialysis presents a challenge for the anterior segment surgeon. In 1993, a poly(methyl methacrylate) endocapsular ring was introduced to stabilize the capsular bag. We describe the use of this endocapsular ring in phacoemulsification and intraocular lens (IOL) implantation in the capsular bag in four patients with extensive traumatic or congeni tal zonular dialysis. The endocapsular ring allows expansion and stabi lization of the capsular bag to facilitate cortical aspiration and unc omplicated IOL implantation. With follow-up of 4 to 10 months, all IOL s have remained well centered and the patients have had excellent visi on free of complications.