Dr.Karpagam Damodaran, Dr.Dhivya A
Soemmering’s ring ,is considered to be a type of regenerating lens substance that develops due to retention of lens fibers between the anterior and posterior capsules .Removal of Soemmering’s ring is essential followed by proper placement of an IOL.
The Glued IOL scaffold is a technique described by us for managing a posterior capsular rupture with non-emulsified nuclear fragments in the presence of an inadequate capsular or iris support.
After levitation of the nuclear fragments into the anterior chamber, a three-piece foldable intraocular lens is injected below the lenticular fragments and a glued IOL procedure is performed. The pre-placed IOL acts as a scaffold and allows safe emulsification of the nuclear fragments.
In cases of Soemmering’s ring with a posterior capsular rupture,the same technique of the Glued IOL scaffold is advocated for safe emulsification.
We here describe various surgical scenarios encountered with tips to manage in such cases.
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