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

Abstract

Ahmed Samir, Ayman M Abdelrahman Elsayed, Ahmed Alyan, Ayman Lotfy Ophthalmology Department, Zagazig University, Zagazig, EgyptCorrespondence: Ahmed SamirOphthalmology Department, Zagazig University, Zagazig, EgyptEmail [email protected]: 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

Keywords

• 1) cionni ring 2) lens subluxation 3) prolene suture 4) scleral fixation