Rj. Cionni et Rh. Osher, MANAGEMENT OF PROFOUND ZONULAR DIALYSIS OR WEAKNESS WITH A NEW ENDOCAPSULAR RING DESIGNED FOR SCLERAL FIXATION, Journal of cataract and refractive surgery, 24(10), 1998, pp. 1299-1306
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.