Management of zonular dialysis in phacoemulsification and IOL implantation using the capsular tension ring.

Objective: Cataract surgery with zonular dialysis remains a challenge for surgeons performing phacoemulsification and posterior chamber intraocular lens implantation. In this article, the authors report the results of cataract surgery with zonular dialysis that was managed with the capsular tension ring.

Methods: Of the 14 cataract surgery cases with loose or broken zonules managed with capsular tension rings that were retrospectively reviewed, 5 selected cases are presented in this article.

Results: The authors found that the capsular tension ring helps to avoid capsular collapse and vitreous presentation during surgery and maintains the circular contour of the capsular bag, allowing the intraocular lens to easily be placed into the bag. There was no observable decentration of the intraocular lens after surgery.

Conclusions: The capsular tension ring may provide an alternative means to manage zonular dialysis during phacoemulsification and posterior chamber intraocular lens implantation.