Implantation of the modified endocapsular bending ring in pediatric cataract surgery using a viscoadaptive viscoelastic agent

Cataract surgery and intraocular lens (IOL) implantation in pediatric eyes remain controversial. Using a viscoadaptive viscoelastic agent, we implante d a modified capsular bending ring (CBR) as well as an acrylic IOL with a s harp-optic-edge design in the capsular bag. All operated eyes demonstrated a low postoperative inflammatory reaction and a clinically well-centered IO L. The band-shaped, sharp-edged CBR facilitates the creation of a sharp, di scontinuous bend in the equatorial capsule, which prevents anterior and pos terior capsule opacification. Combining the viscoadaptive viscoelastic agen t and the CBR enhances the safety of primary and secondary posterior chambe r IOL implantation in pediatric cataract surgery, reduces capsule opacifica tion, and may facilitate IOL exchange. J Cataract Refract Surg 1999;25:1432 -1436 (C) 1999 ASCRS and ESCRS.