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A New, Simple, and Safe Surgical Technique for the Removal of a Dislocated Capsular Tension Ring-Intraocular Lens-Capsular Bag Complex.

Purpose
To report a safe and simple surgical technique for the removal of a dislocated capsular tension ring (CTR)-intraocular lens (IOL)-capsular bag (CB) complex.


Methods
We present an extraocular surgical removal technique for a dislocated CTR-IOL-CB complex. While the entire complex is typically removed with a large incision, this approach applies a CTR injector and anterior capsule forceps in a less invasive manner.


Patients
Patients who need to remove a dislocated CTR-IOL-CB complex.


Results
After vitrectomy, the complex was moved to the anterior chamber, where the tip of the CTR was separated from the IOL-CB using anterior capsule forceps and hooked onto the tip of the CTR injector. Subsequently, the CTR, as well as part of the CB, were gradually separated from the IOL-CB and stored in the CTR injector. This was completed while also supporting the IOL-CB complex using the forceps. Once the whole CTR and the part of CB were removed from the anterior chamber, the residual IOL and CB were then removed.


Conclusion
Our methodology, using the CTR injector and anterior capsule forceps, enable the procedure to be completed with only a small corneal incision, thereby allowing for the safe and simple removal of a CTR-IOL-CB complex.