Spontaneous Posterior Dislocation of Soemmering Ring 34 Years after Cataract Surgery

Author(s):  
Angi Lizbeth Mendoza-Moreira ◽  
María Belén Figuerola-García ◽  
José Belda-Márquez ◽  
Ángela González-Alonso ◽  
Florencio Pérez-Moreda ◽  
...  
2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Travis Peck ◽  
Shruti Aggarwal ◽  
Sandra Johnson

Purpose. We present a case of a patient with Soemmering ring after cataract surgery and a potential complication that can arise as a result of its presence. Observations. A patient with history of ruptured globe status after repair and lensectomy, complicated by aphakic secondary open angle glaucoma, was referred for management of second injury to the same eye. This injury resulted in Soemmering ring dislocation into the anterior chamber. The cortical material caused a significant increase in intraocular pressure and corneal decompensation. Surgical removal of the Soemmering ring and Ahmed glaucoma tube implant was performed with control of intraocular pressures; however corneal edema could not be reversed. Conclusions and Importance. This case report illustrates the serious consequences that can be caused by Soemmering rings without early surgical intervention. Care must be taken to completely remove cortical material during cataract surgery to prevent their formation.


2017 ◽  
Vol 27 (4) ◽  
pp. 509-511 ◽  
Author(s):  
Momoko Yamakawa ◽  
Mami Kusaka ◽  
Shogo Yamada ◽  
Masayuki Akimoto

Purpose To describe a new technique for remnant removal in cases of posterior capsular rupture during cataract surgery and Soemmering ring extraction during intraocular lens (IOL) removal. Methods An IOL injector, inserted into the anterior chamber, provides a new exit for residual lens fragments. Passive fluid flow, supplied by an anterior chamber maintainer or some ocular viscoelastic device (OVD) injection, delivers the residual fragments into a lumen of the injector in assistance with a second device such as a phaco-chopper and vitreous cutter. Results Soemmering rings can be removed safely through small incisions even when under the iris. Nucleus fragments in anterior chamber can be removed safely. Fragments that fall into the vitreous cavity can float up for removal by passive flow. Conclusions This new technique, remnant extraction through lens injector with essential flow, has several practical advantages over existing methods including reduced OVD injection and smaller incision size. It may offer an alternative to existing methods of remnant removal in cases of posterior capsular rupture during cataract surgery and Soemmering ring extraction.


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