ISSN: 2459-1777 | E-ISSN 2587-0394
Volume : 9 Issue : 3 Year : 2024
Combined Capsular Tension Ring and Segment Implantation in Phacoemulsification Surgery for the Management of Microspherophakia with Secondary Angle-Closure Glaucoma [Beyoglu Eye J]
Beyoglu Eye J. 2023; 8(2): 123-127 | DOI: 10.14744/bej.2023.57625

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

Nilgün Solmaz1, Türker Oba2, Feyza Önder1
1Department of Ophthalmology, Health Sciences University, Haseki Training and Research Hospital, Istanbul, Türkiye
2Department of Ophthalmology, Karaman Training and Research Hospital, Karaman, Türkiye

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.

Keywords: Capsular tension ring, capsular tension segment, glaucoma, microspherophakia

Corresponding Author: Nilgün Solmaz, Türkiye
Manuscript Language: English
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