Home > Archive>Volume 22, Issue 10, 2022 >1666-1670. DOI:10.3980/j.issn.1672-5123.2022.10.14
PDF HTML XML Export Cite reminder
Clinical application of capsular tension ring
Author:
Fund Project:

Project of Sichuan Medical Association(No.S20016); Project of City and College Cooperation(No.22SXFWDF0003)

  • Article
    • | |
  • Metrics
    • |
  • Reference [45]
    • |
  • Related [20]
    • | | |
  • Comments
    Abstract:

    As an in-bag filling device, capsular tension ring(CTR)has played an important role in cataract surgery. Maintaining the circular contour of the capsular bag and improving the safety of surgery is the original intention of CTR design, and then it was found to have better effects in inhibiting posterior capsular opacity and capsular bag shrinkage, and enhancing the stability of intraocular lenses. After nearly 30a of improvement and development, CTR has been derived into a variety of types, and its clinical application has gradually expanded. In particular, CTR can be used in complex cataract surgery to reduce intraoperative risk and improve postoperative outcomes. In the present paper, the implantation timing, indications and complications of CTR were summarized, and the progress in clinical application in recent years was briefly reviewed.

    Reference
    1 Hara T, Hara T, Yamada Y. Equator ring for maintenance of the completely circular contour of the capsular bag equator after cataract removal. Ophthalmic Surg 1991; 22(6):358-359
    2 Nagamoto T, Bissen-Miyajima H. A ring to support the capsular bag after continuous curvilinear capsulorhexis. J Cataract Refract Surg 1994; 20(4):417-420
    3 Erb-Eigner K, Hirnschall N, Hackl C, et al. Predicting lens diameter: ocular biometry with high-resolution MRI. Invest Ophthalmol Vis Sci 2015; 56(11):6847-6854
    4 Dong EY,Joo CK. Predictability for proper capsular tension ring size and intraocular lens size. Korean J Ophthalmol 2001; 15(1):22-26
    5 Cionni RJ, Osher RH. Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg 1998; 24(10):1299-1306
    6 Tataru CP, Dogaroiu AC, Tataru CI, et al. Enhancing rotational stability of toric intraocular lenses using a type 2L Cionni capsular tension ring in patients with high myopia. J Cataract Refract Surg 2019; 45(9):1219-1221
    7 Chee SP. Half-bow sliding knot: modified suture technique for scleral fixation using the corneoscleral pocket. J Cataract Refract Surg 2011; 37(9):1576-1580
    8 Canabrava S, Bernardino L, Batisteli T, et al. Double-flanged-haptic and capsular tension ring or segment for sutureless fixation in zonular instability. Int Ophthalmol 2018; 38(6):2653-2662
    9 Molokhia SA, Sant H, Simonis J, et al. The capsule drug device: novel approach for drug delivery to the eye. Vision Res 2010; 50(7):680-685
    10 Lei M, Peng ZH, Dong Q, et al. A novel capsular tension ring as local sustained-release carrier for preventing posterior capsule opacification. Biomaterials 2016; 89:148-156
    11 Lin JY, Ho WL, Ger LP, et al. Analysis of factors correlated with the development of pseudophakic retinal detachment - a long-term study in a single medical center. Graefes Arch Clin Exp Ophthalmol 2013; 251(2):459-465
    12 Menapace R, Findl O, Georgopoulos M, et al. The capsular tension ring: designs, applications, and techniques. J Cataract Refract Surg 2000; 26(6):898-912
    13 Zhang KK, Dong YC, Zhao MS, et al. The effect of capsule tension ring on posterior capsule opacification: a meta-analysis. PLoS One 2021; 16(3):e0246316
    14 Olsen T. Calculation of intraocular lens power: a review. Acta Ophthalmol Scand 2007; 85(5):472-485
    15 Alió JL, Elkady B, Ortiz D, et al. Microincision multifocal intraocular lens with and without a capsular tension ring: optical quality and clinical outcomes. J Cataract Refract Surg 2008; 34(9):1468-1475
    16 Schild AM, Rosentreter A, Hellmich M, et al. Effect of a capsular tension ring on refractive outcomes in eyes with high myopia. J Cataract Refract Surg 2010; 36(12):2087-2093
    17 Park HJ, Lee H, Kim DOW, et al. Effect of Co-implantation of a capsular tension ring on clinical outcomes after cataract surgery with monofocal intraocular lens implantation. Yonsei Med J 2016; 57(5):1236-1242
    18 Rastogi A, Khanam S, Goel Y, et al. Comparative evaluation of rotational stability and visual outcome of toric intraocular lenses with and without a capsular tension ring. Indian J Ophthalmol 2018; 66(3):411-415
    19 Zhao Y, Li JX, Yang K, et al. Combined special capsular tension ring and toric IOL implantation for management of astigmatism and high axial Myopia with cataracts. Semin Ophthalmol 2018; 33(3):389-394
    20 Hahn U,Krummenauer F, Schmickler S, et al. Rotation of a toric intraocular lens with and without capsular tension ring: data from a multicenter non-inferiority randomized clinical trial(RCT). BMC Ophthalmol 2019; 19(1):143
    21 Chen CX, Wang JD, Zhang JS, et al. Effect of lens capsular tension ring on preventing capsular contraction syndrome in the surgery of retinitis pigmentosa combined with cataract: retrospective case series. Int J Clin Pract 2021; 75(8):e14272
    22 Price FW Jr, Mackool RJ, Miller KM, et al. Interim results of the United States investigational device study of the Ophtec capsular tension ring. Ophthalmology 2005; 112(3):460-465
    23 Hayashi K, Yoshida M, Hirata A, et al. Anterior capsule relaxing incisions with neodymium: YAG laser for patients at high-risk for anterior capsule contraction. J Cataract Refract Surg 2011; 37(1):97-103
    24 Park TK, Chung SK,Baek NHO. Changes in the area of the anterior capsule opening after intraocular lens implantation. J Cataract Refract Surg 2002; 28(9):1613-1617
    25 Vanags J, Erts R, Laganovska G. Anterior capsule opening contraction and late intraocular lens dislocation after cataract surgery in patients with weak or partially absent zonular support. Medicina (Kaunas)2021; 57(1):35
    26 Bardoloi N, Sarkar S, Burgute PS, et al. Capsular tension ring assisted phacoemulsification of morgagnian cataract. Indian J Ophthalmol 2021; 69(7):1781-1785
    27 Ahmed IIK,Cionni RJ, Kranemann C, et al. Optimal timing of capsular tension ring implantation: Miyake-Apple video analysis. J Cataract Refract Surg 2005; 31(9):1809-1813
    28 Koplin RS, Waisbren E, Ritterband DC, et al. Facilitating cortical aspiration after insertion of a capsular tension ring. J Cataract Refract Surg 2016; 42(6):810-812
    29 Hoffman RS, Snyder ME, Devgan U, et al. Management of the subluxated crystalline lens. J Cataract Refract Surg 2013; 39(12):1904-1915
    30 Buttanri IB, Sevim MS, Esen D, et al. Modified capsular tension ring implantation in eyes with traumatic cataract and loss of zonular support. J Cataract Refract Surg 2012; 38(3):431-436
    31 Yang SF, Jiang H,Nie KL, et al. Effect of capsular tension ring implantation on capsular stability after phacoemulsification in patients with weak zonules: a randomized controlled trial. CTR implantation in cataract patients with weak zonules. BMC Ophthalmol 2021; 21(1):19
    32 Sagiv O, Sachs D. Rotation stability of a toric intraocular lens with a second capsular tension ring. J Cataract Refract Surg 2015; 41(5):1098-1099
    33 Jiang HM, Liang K, Tao LM. Comparative evaluation of rotational stability oftoric IOLs with four-eyelet vs two-eyelet capsular tension rings in eyes with high myopia. Int J Ophthalmol 2021; 14(3):378-382
    34 Salimi A, Fanous A, Watt H, et al. Prevalence of zonulopathy in primary angle closure disease. Clin Experiment Ophthalmol 2021; 49(9):1018-1026
    35 牛科, 刘姗姗, 范晓军, 等. 植入不同尺寸囊袋张力环对合并悬韧带松弛急性闭角型青光眼患者术后疗效的影响. 眼科新进展 2020; 40(9):867-870
    36 Gürelik G, Korkmaz S, Disli G, et al. A novel surgical method to treat chronic ocular hypotony. Ophthalmic Surg Lasers Imaging Retina 2019; 50(3):e56-e60
    37 Li B, Wang YJ,Malvankar-Mehta MS, et al. Surgical indications, outcomes, and complications with the use of a modified capsular tension ring during cataract surgery. J Cataract Refract Surg 2016; 42(11):1642-1648
    38 Chen ZX, Zhang M, Deng M, et al. Surgical outcomes of modified capsular tension ring and intraocular lens implantation in Marfan syndrome with ectopia lentis. Eur J Ophthalmol 2021[Online ahead of print]
    39 Fontana L,Coassin M, Iovieno A, et al. Cataract surgery in patients with pseudoex-foliation syndrome: current updates. Clin Ophthalmol 2017; 11:1377-1383
    40 Kandemir Besek N, Gumus G, Karabulut GO, et al. Effect of capsular tension ring on refractive results in cases with pseudoexfoliation syndrome. Eur J Ophthalmol 2022; 32(1):263-267
    41 Shingleton BJ, Neo YN, Cvintal V, et al. Outcome of phacoemulsification and intraocular lens implantion in eyes with pseudoexfoliation and weak zonules. Acta Ophthalmol 2017; 95(2):182-187
    42 Guo L, Wang C, Yang X. A novel technique for the surgical management of intraocular lens-capsular bag-capsular tension ring complex dislocation. Exp Ther Med 2019; 17(4):2785-2788
    43 Menapace R. Luxated capsule-IOL complex with capsular tension ring lying upside down on retina: may consultation #1. J Cataract Refract Surg 2016; 42(5):798
    44 Gala JM, Khanna RC. Misplaced capsule tension ring in anterior chamber: a unique way ofexplantation. Indian J Ophthalmol 2018; 66(7):1009-1011
    45 Lin HS, Zhou GM, Zhang SD, et al. One-year outcome of low dose laser cyclophotocoagulation for capsular tension ring-induced malignant glaucoma: a case report. Medicine (Baltimore)2020; 99(6):e18836
    Cited by
    Comments
    Comments
    分享到微博
    Submit
Get Citation

Wei-Yin Zeng, Xiao-Yu Li, Chang-Jun Lan,/et al.Clinical application of capsular tension ring. Guoji Yanke Zazhi( Int Eye Sci) 2022;22(10):1666-1670

Copy
Share
Article Metrics
  • Abstract:647
  • PDF: 1025
  • HTML: 0
  • Cited by: 0
Publication History
  • Received:November 09,2021
  • Revised:August 22,2022
  • Online: September 22,2022
You are the 26557 Visitors
Governing Body：Department of Health, Provincial Government of Shaanxi, China
Organizer：Xi'an Medical Association of China
Address：Room 11707-08, Building 2, Unit 1, Wanda Plaza, No.8 Yanta North Road, Xi'an 710054, Shaanxi Province, China
Fax：(8629)82245172 Phone：(+8629)82245172/82210956
Email：ijopress@163.com
® 2025 All Rights Reserved   The terms of CC BY-NC-ND 4.0 are applicable to all open access content.