MANAGEMENT OF PROFOUND ZONULAR DIALYSIS OR WEAKNESS WITH A NEW ENDOCAPSULAR RING DESIGNED FOR SCLERAL FIXATION

The endocapsular tension ring has he pad in the management oi patients with moderate loss of zonular support. However, the eye with profound zonular dialysis or weakness may require scleral fixation of the ring for centration and long-term stabilization. We used a new, modified e ndocapsular tension ring designed to provide scleral support without v iolating the integrity of the capsular bag in 4 patients. All patients had extreme loss of zonular support preoperatively or a significant r isk of progressive zonular weakness. In each case, the new ring provid ed excellent support and centration of the capsular beg and intraocula r lens intraoperatively and postoperatively.