Blunt trauma to the eye resulted in cataract, iris sphincter microtears, and extensive zonular dialysis. Triamcinolone is injected into the anterior chamber in order to visualize the vitreous, then the bag is filled with dispersive OVD to displace vitreous strands posteriorly. A Malyugin modified-CTR (Morcher), which is designed to center the subluxed lens capsule by scleral wall fixation, is injected under the anterior capsule in the direction of zonular defect. Once the ring has been centered on the area of zonular weakness it is sutured to the scleral wall. Boris Malyugin, MD, then uses the Stellaris phacoemulsification system (Bausch + Lomb) to disassemble the nucleus with a quick chop technique. After an Akreos intraocular lens, a bimanual anterior vitrectomy is performed.
Capsular Tension Rings, CTRs • Stellaris Vision Enhancement System
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