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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 620 |
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Voyage of a desolate capsular tension ring!
Venugopal Anitha1, Meenakshi Ravindran2
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 Publication | 13-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
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2334_21
How to cite this article:
Anitha V, Ravindran M. Voyage of a desolate capsular tension ring!. Indian J Ophthalmol Case Rep 2022;2:620 |
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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 | |  |
| 1. | Weng TH, Chiang SY. Complete anterior dislocation of capsular tension ring-intraocular lens complex. J Clin Exp Ophthalmol 2017;8:683.  |
| 2. | Gurnani B, Kaur K. Rare traumatic anterior dislocation of capsular tension ringintraocular lens complex in-toto. Indian J Ophthalmol 2020;68:2529. |
[Figure 1]
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