Results
Title

Combined Capsular Tension Ring and Segment Implantation in Phacoemulsification Surgery for the Management of Microspherophakia with Secondary Angle-Closure Glaucoma.

Authors

Solmaz, Nilgun; Oba, Turker; Onder, Feyza

Abstract

We present the long-term results of the implantation of a capsular tension ring (CTR) and Ahmed capsular tension segments (CTS) together for the management of mikrospherophakia in a 35-year-old female patient. The patient had uncontrolled secondary angle-closure glaucoma, despite previous laser peripheral iridotomy, and visual impairment due to lenticular myopia. Clear lens extraction was performed under general anesthesia. The capsular bag was stabilized with a classical CTR and two Ahmed CTSs sutured to the sclera. A single-piece hydrophobic acrylic intraocular lens (32.0 D for the right and 30.0 D for the left eye) was implanted in the capsular bag. The anterior chamber depth was stable, and intraocular pressure (IOP) was 10-12 mmHg in both eyes in the early post-operative period. The bag complex gradually moved forward, IOP gradually increased, and the left eye underwent trabeculectomy surgery in the 4th year of follow-up.

Subjects

ANGLE-closure glaucoma; PHACOEMULSIFICATION; GLAUCOMA; VISION disorders; INTRAOCULAR pressure; POSTOPERATIVE period; TRABECULECTOMY; HEALTH outcome assessment; INTRAOCULAR lenses; OPHTHALMOLOGY

Publication

Beyoglu Eye Journal, 2023, Vol 8, Issue 2, p123

ISSN

2459-1777

Publication type

Academic Journal

DOI

10.14744/bej.2023.57625