ArticleFrontiers in medicine2025
Treatment of traumatic subluxation of the crystalline lens with custom-made capsular hook.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Sutureless capsular bag-intraocular lens complex scleral fixation using iris retractors in eyes with crystalline lens subluxation: long-term outcome.Scientific reports · 2026Trial
- Efficacy analysis of capsular tension ring ciliary sulcus suture fixation for lens subluxation.BMC ophthalmology · 2026Article
- 27-gauge co-port IOL scleral fixation for severe traumatic crystalline lens subluxation.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Traumatic rupture of the lens zonules, leading to lens dislocation, is common in clinical practice and often requires surgical treatment. We aim to study capsular hooks, formed from 5-0 or 6-0 polypropylene sutures by heat shaping, to fix the capsular bag and reshape the lens zonular. Methods: A retrospective analysis was conducted on 16 patients (16 eyes) with traumatic subluxation of the crystalline lens who visited our department. Capsular hooks were fabricated using 5-0 or 6-0 polypropylene sutures, shape by heat, to fix the anterior capsular opening. The sutures passed out of the eye, punctured the sclera and traversed it parallel to the limbus for 2-3 mm, exiting through the conjunctiva to form a suture tunnel parallel to the limbus, securing the suture and preventing loosening. Changes in best-corrected visual acuity (BCVA) after surgery, intraocular lens centration, and surgical complications were assessed. Results: Post-operative follow-up was 6-30 months, with an average of 10 ± 5.9 months. The BCVA improved from a pre-operative median of 2.15 (1.67) logMAR to a postoperative median of 0.25 (0.38) logMAR (paired sample Wilcoxon signed-rank test, Conclusion: Long-term follow-up data suggest that using custom-made capsular hooks offers a reliable solution for maintaining long-term stability of the capsular bag in patients with traumatic crystalline lens subluxation. This technique maintains the centering of the IOL postoperatively, showing effectiveness and safety, and it holds potential for broader clinical application.
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