Retinopathy of Prematurity (ROP) Loose Zonules And Heme

Thomas A. Oetting, MS, MD; E. Bo Yang, MD

This patient had ROP with a dense cataract that was left for a while due to her monocular status. She had weak zonules, which is common in conditions such as ROP that lead to nystagmus in my experience. Her cataract came out nicely, but when I tried to place the Capsular Tension Ring, the bag was too loose and a ring alone was not enough. We, therefore, placed an Intraocular Lens (IOL) in the sulcus and then used McCannel sutures to secure the IOL. Unfortunately, she had a fair amount of hemorrhage after placing the suture. Rather than using the Siepser sliding technique as described by David Chang to fix the IOL, I used the old McCannel technique, which was simpler around the hemorrhage. So far so good with her IOL fixation and centration.

Additional Notes: length 7:25