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  • Title: Novel double-flanged technique for managing Marfan syndrome and microspherophakia.
    Author: Canabrava S, Canedo Domingos Lima AC, Arancibia AEL, Bicalho Dornelas LF, Ribeiro G.
    Journal: J Cataract Refract Surg; 2020 Mar; 46(3):333-339. PubMed ID: 32079842.
    Abstract:
    A new technique for fixating the capsular bag in patients with ectopia lentis is presented. In this technique, the capsulorhexis is performed using a femtosecond laser, followed by the insertion of a standard capsular tension ring to redistribute capsular forces. The nucleus is hydroprolapsed into the anterior chamber and nuclear disassembly is performed above the iris plane to reduce zonular stress. Finally, a 5-0 polypropylene monofilament is used to fixate a capsular tension segment and subluxated capsular bag. This novel double-flanged method, achieved with cautery, does not require direct suturing of the monofilament on the sclera. This article describes the use of this new technique in 3 eyes, 2 in patients with Marfan syndrome and 1 in a patient with microspherophakia.
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