Double flanged polyprolene suture for scleral fixation of Cionni capsule tension ring

Session Details

Session Title: Cataract
Session Date/Time: Friday 21/02/2020 | 10:30-13:00
Paper Time: 11:36
Venue: Fes 1.

First Author: A.Samir EGYPT
Co Author(s):                  

Abstract Details

Purpose:

To describe a new technique for transconjunctival intrascleral fixation of Cionni CTR using double flanged polyprolene suture.

Setting:

Magrabi eye hospital Jeddah KSA

Methods:

Cionni ring is inserted in the empty decentered bag after I/A step. A polyprolene 6/0 suture is passed through the eyelet of the ring to be retrived outside the globe via the lumen of 27-gauge needle which is inserted transconjunctivally. Ophthalmic cautery  is used to create a flange at the end of  prolene suture. Then the prolene suture is pulled till the Cionni ring is  centered. The other end of the prolene suture is firmly held with a forceps and maximally pulled through the scleraland conjunctiva then cauterized to make a second flange then released to be under the conjunctiva.

Results:

This technique were used in 7 cases with severe (more than 180 degree) lens subluxation. three cases with hereditary sublyxation (Marfan syndrome), 2 cases were traumatic subluxation and 2 cases with pseudoexfoliation. All cases achieved a good post operative IOL centration

Conclusions:

Scleral fixation of Cionni ring using a double flanged 6/0 prolene suture is a safe , efficient and time sparing technique

Financial Disclosure: