Journal of Cataract & Refractive Surgery
Volume 30, Issue 6 , Pages 1295-1299, June 2004

Subtle signs of zonular damage☆

  • Daniela M.V Marques, MD

      Affiliations

    • Cincinnati Eye Institute, Cincinnati, OH, USA
    • Department of Ophthalmology, Faculdade de Medicina do ABC, São Paulo, Brazil
    • ,
  • Frederico F Marques, MD

      Affiliations

    • Cincinnati Eye Institute, Cincinnati, OH, USA
    • Department of Ophthalmology, Faculdade de Medicina do ABC, São Paulo, Brazil
    • ,
  • Robert H Osher, MD

      Affiliations

    • Corresponding Author InformationReprint requests to Robert H. Osher, MD, Cincinnati Eye Institute, 10494 Montgomery Road, Cincinnati, Ohio 45242, USA
    • Cincinnati Eye Institute, Cincinnati, OH, USA
    • Department of Ophthalmology, University of Cincinnati College of Medicine, Cincinnati, OH, USA

Accepted 30 September 2003.

Abstract 

Purpose: To describe 5 subtle signs of zonular damage.

Setting: Cincinnati Eye Institute, Cincinnati, Ohio, USA.

Methods: Three patients with a history of ocular trauma and 1 patient with Marfan's syndrome are described. During the preoperative examination, subtle signs of zonular damage were detected. As a result of the early recognition, critical modifications in cataract surgery technique and technology were made.

Results: The signs of zonular damage identified in the patients were visibility of the lens equator during eccentric gaze, decentered nucleus in primary position, iridolenticular gap, changes in the contour of the lens periphery, and focal iridodonesis.

Conclusion: Identification of subtle but important signs of zonular damage will better prepare the surgeon for a challenging surgical procedure.

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

☆ None of the authors has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(04)00296-2

doi:10.1016/j.jcrs.2003.09.071

Journal of Cataract & Refractive Surgery
Volume 30, Issue 6 , Pages 1295-1299, June 2004

Article Tools

* Image Usage & Resolution