Capsule Support Devices
Objectives
- Describe indications for placing capsule support devices
 - Describe/Demonstrate placement of capsule tension ring (CTR)
 - Early placement
 - Late placement
 - Describe when to use a right vs a left CTR
 - Describe/Demonstrate placement of capsular hooks
 
Reading
- Henderson BA. Essentials of Cataract Surgery, second edition. Thorofare, NJ: Slack Inc., 2014. (WW 260 E78 2014). isbn 978-1-61711-0672
 - Chapter 24: Zonular Instability and Endocapsular Tension Rings
(UIHC Link) - • Kim, Terry. Curbside Consultation in Cataract Surgery: 49 Clinical Questions, second edition. Thorofare, NJ: Slack Inc., 2014
 - Question 32: The Capsular bad is unexpectedly mobil during phaco. When should I implant a capsular tension ring and which size should I use?
 
Videos
• Retractors/Capsular tension hooks:
MiLoop and MST retractors
Watch on  YouTube
Capsule retractors and other stuff
Watch on  YouTube
Sinsky and iris hook assist
Watch on  YouTube
So many paracenteses
Watch on  YouTube
MST capsule retractors
Watch on  YouTube
• CTR
Early CTR with soft prolapse for zonular dialysis
Watch on  YouTube
Sinsky hook for CTR placement
Watch on  YouTube
CTR toward the weak area
Watch on  YouTube
Early capsular tension ring and iridodialysis repair
Watch on  YouTube
Tricky CTR insertion
Watch on  YouTube
CTR load and insert
Watch on  YouTube
• Both
Many accessories
Watch on  YouTube
• Simulation
MST retractor simulation
Watch on  YouTube
Simulation
Suggested citation format: Haugsdal J, Kitzmann A, Oetting TA. The Iowa Ophthalmology Wet Laboratory. EyeRounds.org. Updated Posting June 28, 2021. Originally Posted December 6, 2012. Available from http://www.EyeRounds.org/tutorials/Iowa-OWL-o2021/