Capsule fixation device for cataract surgery

PURPOSE. The authors present a patient with Marfan syndrome who underwent cataract surgery using a novel device for fixation of capsular bag. METHODS. The capsule fixation device (CFD) is poly(methyl methacrylate) arch with doublearmed bent hook that can be introduced into the anterior chamber through the clear corneal incision, placed with a rest on the capsule equator, and sutured to the sclera without injury of the capsular bag. A 16-year-old patient with Marfan syndrome underwent consecutive phacoemulsification with in-the-bag intraocular lens and CFD implantation on both eyes. RESULTS. During the surgery handling the CFD was technically simple with good visualization. The preoperative best-corrected visual acuity was 0.3 and 0.1 and postoperatively 0.6 and 0.8 in the right and left eyes, respectively. The postoperative follow-up was over 9 months. CONCLUSIONS. Use of the CFD was successful in a case of lens subluxation with no complications observed during the period of follow-up. (Eur J Ophthalmol 2009; 19: 143-6)