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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 620

Voyage of a desolate capsular tension ring!


1 Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu, India
2 Paediatric and Strabismology Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli, Tamil Nadu, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Venugopal Anitha
Senior Consultant, Cornea and Refractive Services, Aravind Eye Hospital and Post Graduate Institution, Tirunelveli - 627 001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2334_21

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How to cite this article:
Anitha V, Ravindran M. Voyage of a desolate capsular tension ring!. Indian J Ophthalmol Case Rep 2022;2:620

How to cite this URL:
Anitha V, Ravindran M. Voyage of a desolate capsular tension ring!. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 24];2:620. Available from: https://www.ijoreports.in/text.asp?2022/2/2/620/342945



A 50-year-old male presented with defective vision in the right eye for 2 years. His vision in the right eye was 6/60. The slit lamp examination revealed horizontally enclaved iris-claw lens (3'o clock and 9'o clock), and anteriorly dislocated Capsular tension ring (CTR) was seen in iridocorneal angle with the early decompensating cornea [Figure 1]a. He had undergone cataract extraction 2 years back. Intraoperatively, CTR (10 mm) was placed for Zonular dialysis, during which nucleus dropped; pars plana vitrectomy with Lensectomy and iris-claw enclavation was done. The disparity of CTR size to corneal diameter (10 mm vs. 12 mm) plausibly caused the migration of the CTR anteriorly through the peripheral iridotomy [Figure 1]b. Hence, it is imperative to remove the CTR during secondary IOL procedure.[1],[2]
Figure 1: (a) Image shows anteriorly dislocated capsular tension in the midperiphery (arrows) seated in the iridocorneal angle with early decompensating cornea. (b) Image shows the site of peripheral iridotomy (hazy view due to corneal scarring) through which CTR dislocated into anterior chamber

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Weng TH, Chiang SY. Complete anterior dislocation of capsular tension ring-intraocular lens complex. J Clin Exp Ophthalmol 2017;8:683.  Back to cited text no. 1
    
2.
Gurnani B, Kaur K. Rare traumatic anterior dislocation of capsular tension ringintraocular lens complex in-toto. Indian J Ophthalmol 2020;68:2529.  Back to cited text no. 2
    


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