An Unexpected Delayed Complication of Cataract Surgery: Retinal Detachment Secondary to Capsular Tension Ring Dislocation

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Sekeroglu H. T., ERDEM E., YAR K., Demircan N.

CASE REPORTS IN OPHTHALMOLOGY, vol.3, no.2, pp.266-269, 2012 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 3 Issue: 2
  • Publication Date: 2012
  • Doi Number: 10.1159/000342190
  • Journal Name: CASE REPORTS IN OPHTHALMOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.266-269
  • Keywords: Cataract, Capsular tension ring, Retinal tear, Retinal detachment
  • Çukurova University Affiliated: Yes

Abstract

We aim to present a case of retinal detachment secondary to capsular tension ring dislocation following cataract surgery. A 45-year-old man who underwent cataract surgery 2 years previously presented with decreased vision in his left eye. The patient's posterior capsule was intact with a well-located posterior chamber intraocular lens. Fundus examination revealed retinal detachment with retinal tears, and a capsular tension ring located around the tear was noticed during pars plana vitrectomy; it was removed through the sclerotomy site. In conclusion, dislocation of the capsular tension ring is a rare and unexpected complication of cataract surgery. Although the integrity of the posterior lens capsule is partially preserved, the ring may shift through a small tear in the bag even during its placement, and may cause retinal tears, retinal detachment or just remain silently suspended in the vitreous.