Time to update the endocapsular device toolbox
Cataract surgeons have several tools to help them manage the challenges presented by cases with zonular pathology. However, consideration should be given to the Malyugin modified capsular tension ring (Morcher GmbH), according to Botis Malyugin, MD, PhD.
Dr. MalyuginMoscow-
“It is time for cataract surgeons to consider cleaning house in their endocapsular device toolbox and update it with the latest generation,” said Dr. Malyugin, professor of ophthalmology, S. Fyodorov Eye Microsurgery Complex State Institution, Moscow, Russian Federation. “The Malyugin modified capsular tension ring (CTR) can be safely and easily implanted through a microincision with an injector, and it reliably secures the subluxated lens capsule to the scleral wall, enabling safe surgery and long-term IOL stability.”
Noting that the Cionni modified CTR (Morcher) is probably the most widely used device for stabilizing the capsular bag during surgery in eyes with moderate to more advanced zonular dialysis, Dr. Malyugin explained that in his modification, the fixation element is moved to the very tip of the ring. This change allows the device to be completely retractable into the injector tube, facilitating very safe and controlled injection into the capsular bag.
In addition, the curved portion of the CTR now easily slides along the capsular equator as the device is injected.
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