A patient with Marfan syndrome presents with a dislocated cataract and glaucoma. Arsham Sheybani, MD, instills viscoelastic in the area of zonular weakness to prevent vitreous from coming through. After performing a zonular friendly divide and conquer phaco technique, the surgeon places a CTR, IOL, and iStent (Glaukos). ReSure is used to seal the wounds to prevent chamber shallowing. Additionally, in a case such as this, egress of fluid could cause a hyphema which may block the lumen of the stent.
Capsular Tension Rings, CTRs • Cataract Surgery • Combined Surgery Techniques • Complex Case • Dislocated lens, subluxed lens • Glaucoma • iStent • iStent • Marfan's Syndrome • Microinvasive Glaucoma Surgery (MIGS) • MIGS • Ocular Therapeutix • Ophthalmic viscosurgical device, OVD • ReSure Sealant • Wound sealant
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