Management of subluxated cataract with capsule anchor implantation

Abstract

We describe a small case series that provides preliminary evidence of the usefulness of a new capsule-anchoring device for the management of subluxated cataracts. Three eyes of 3 patients with traumatic subluxated cataract causing a significant visual loss were enrolled. Phacoemulsification was performed in all cases with implantation of a capsule-anchoring device (AssiAnchor) because partial zonular dehiscence was present. A significant visual improvement was achieved in the 3 cases. The capsular bag was well centered and the anchors firmly attached to the capsulorhexis and sclera at 12 months postoperatively. The capsule-anchoring device was helpful in managing traumatic subluxated cataracts, enabling effective centration of the intraocular lenscapsular bag complex and, consequently, effective visual restoration.

Results of using the AssiAnchor capsule device for subluxated crystalline lenses

“…Cystoid macular edema (CME) was reported in another case. Similar results were also reported by Mojzis et al ,[ 8 ] who described the results of three cases of subluxated cataracts following blunt injury, in which the use of the AssiAnchor capsule device provided a successful outcome. They had one case of capsule tear, with no postoperative complications.…”

“…Our experience with the AssiAnchor capsule device is similar to Mojzis et al . [ 8 ] in that we found it to be easily insertable under the edge of the capsulorhexis even before removal of the crystalline lens. Effective centration of the IOL–capsular bag complex could then be achieved after the lens removal and IOL implantation.…”