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Double-Flanged polypropylene Suture for Scleral Fixation of Cionni Capsule Tension Ring

Authors Samir A, Abdelrahman Elsayed AM, Alyan A, Lotfy A

Received 4 January 2020

Accepted for publication 19 March 2020

Published 20 April 2020 Volume 2020:14 Pages 1055—1058

DOI https://doi.org/10.2147/OPTH.S244751

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Supplementary video of "Double flanged polyprolene suture for fixation of Cionni CTR" [ID 244751]

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Ahmed Samir, Ayman M Abdelrahman Elsayed, Ahmed Alyan, Ayman Lotfy

Ophthalmology Department, Zagazig University, Zagazig, Egypt

Correspondence: Ahmed Samir
Ophthalmology Department, Zagazig University, Zagazig, Egypt
Email ahmedsamir74@gmail.com

Purpose: To describe a new technique for transconjunctival intrascleral fixation of Cionni CTR using double-flanged polypropylens suture.
Methods: This is a prospective interventional case series which included 7 cases with severe (more than 180 degrees) zonular dialysis. Three cases were hereditary lens subluxation (Marfan syndrome), 2 cases with traumatic subluxation and 2 cases with pseudo-exfoliation syndrome.
Results: All cases achieved a good postoperative stable and centered IOL with good visual results. No postoperative complications were recorded apart from PCO in 3 cases and mild bleeding during needle passage in one case.
Conclusion: This described technique is a simple, time sparing and minimally invasive method for achieving good bag centration. It eliminates the need of conjunctival peritomy, subconjunctival vessels cautery and scleral fashioning of a flap, pocket or a groove. The use of 6/0 polypropylene theoretically can achieve better longevity.

Keywords: Cionni ring, lens subluxation, polypropylene suture, scleral fixation

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