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LETTER TO EDITOR
Year : 2010  |  Volume : 58  |  Issue : 5  |  Page : 447

Trans-scleral fixation of Cionni - modified capsule tension ring


Cornea Center, SCO 833-834 Sector 22A, Chandigarh-160 022, India

Date of Web Publication2-Aug-2010

Correspondence Address:
Ashok Sharma
Cornea Center, SCO 833-834 Sector 22A, Chandigarh-160 022
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.67049

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How to cite this article:
Sharma A. Trans-scleral fixation of Cionni - modified capsule tension ring. Indian J Ophthalmol 2010;58:447

How to cite this URL:
Sharma A. Trans-scleral fixation of Cionni - modified capsule tension ring. Indian J Ophthalmol [serial online] 2010 [cited 2015 May 25];58:447. Available from: http://www.ijo.in/text.asp?2010/58/5/447/67049

Dear Editor,

I read with great interest the article entitled, "Results of intraocular lens implantation with capsular tension ring in subluxated crystalline or cataractous lenses in children," by Das et al. [1] I congratulate the authors for an excellent study on a very relevant issue. The authors have shown 20/40 or better vision in 16 of 18 (89%) pediatric eyes, having a zonular dialysis of 90 to 210 degrees with Polymethyl methacrylate (PMMA) or an acrylic intraocular lens (IOL), implanted with a capsular tension ring (CTR). However, I believe that patients with zonular dialysis > 180 degrees might have shown better results if Cionni-modified CTR with a single or double eyelet was inserted and sutured to the sclera. Trans-scleral fixation of Cionni-modified CTR and IOL complex may provide better fixation, centration, and long-term stability in these cases with zonular dialysis > 180 degrees. The procedure will, in addition, eliminate the possible necessity of a second procedure of scleral fixation of one haptic, to correct the increased subluxation and IOL decentration in the postoperative period. [2]

 
  References Top

1.
Das P, Ram J, Brar GS, Dogra MR. Results of intraocular lens implantation with capsular tension ring in subluxated crystalline or cataractous lenses in children. Indian J Ophthalmol 2009;57:431-6.   Back to cited text no. 1
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2.
Vasavada V, Vasavada VA, Hoffman RO, Spencer TS, Kumar RV, Crandall AS. Intraoperative performance and postoperative outcomes of endocapsular ring implantation in pediatric eyes. J Cataract Refract Surg 2008;34:1499-508.  Back to cited text no. 2
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Das, P., Ram, J., Brar, G., Dogra, M.S.
Indian Journal of Ophthalmology. 2010; 58(5): 447-448
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