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.com
Volume 9
Journal of Clinical & Experimental Ophthalmology
Ophthalmology Conference 2018
September 17-18, 2018
September 17-18, 2018 Tokyo, Japan
17
th
Asia Pacific Ophthalmologists Annual Meeting
J Clin Exp Ophthalmol 2018, Volume 9
DOI: 10.4172/2155-9570-C6-094
To evaluate the intraoperative and postoperative performance of Cionni-modified ring (CTR)
aided phacoemulsification and IOL implantation in a sub-luxated lens
Mohsin Khan
Affiliation, Country Name
Purpose:
To evaluate the intraoperative and postoperative performance of Cionni-modified ring (CTR) aided
phacoemulsification and IOL implantation in a sub-luxated lens.
Design:
Prospective observational study.
Methods:
This study was carried out at lotus eye hospital, Coimbatore, India. The study population comprised 30 eyes of
25 patients with sub-luxated lenses that underwent lens extraction, capsular bag fixation with modified CTR and in-the-
bag (IOL) implantation. Main outcome measures were intraoperative performance and postoperative Best-Corrected Visual
Acuity (BCVA), IOL centration and complications.
Results:
The mean age was 36.77 years (4-75 years). Mean extent of subluxation was 7.1-2.0 clock hours. Preoperatively, vitreous
was detected in the anterior chambers of 3 eyes (10.0%). Two-port anterior chamber vitrectomy was performed in 3 eyes. Mean
follow-up was 24 months. Mean preoperative BCVA was 0.83-0.60 logMAR (30 eyes). Mean postoperative BCVA at final
follow-up was 0.28-0.32 logMAR (30 eyes) (P<0.001). In 1 eye (3.33%) IOL de-centration was noted and repositioned. Posterior
capsule opacification developed in 2 eyes (6.67%) and required Nd:YAG capsulotomy in both cases. Other complications
included capsular phimosis in 1 eye (3.33%) and posterior synechiae in 1 eye (3.33%).
Conclusion:
In-the-bag implantation of a Cionni’s modified CTR with IOL appears to be a safe option in the eyes with sub-
luxated cataract, ensuring a stable IOL with few complications.
drmohsindkhan@gmail.com