Journal of the Korean Ophthalmological Society 2006;47(2):221-226.
Published online February 28, 2006.
New Model of Capsule Measuring Ring: The Possibility to Predict the Capsular Bag Diameter.
Young Dong Cha, Hyung Jung Kim, Do Hyung Lee
Department of Ophthalmology, Ilsan Paik Hospital, College of Medicine, Inje University, Gyeonggi-do, Korea. dhlee@ilsanpaik.ac.kr
수정체낭 크기 측정을 위한 수정체낭확장고리의 개발 및 술 전 예측인자에 관한 연구
차영동,김형정,이도형
Department of Ophthalmology, Ilsan Paik Hospital, College of Medicine, Inje University, Gyeonggi-do, Korea
Correspondence:  Young Dong Cha, M.D.
Abstract
PURPOSE
This study evaluates the capsular bag diameter (CBD) with a capsular tension ring (CTR) following cataract surgery and analyzes the predictive factors correlated with capsular bag size to predict CBD preoperatively. METHODS: We inserted the CTR before intraocular lens (IOLs) implantation in 25 eyes undergoing cataract surgery. The axial length (AL), anterior chamber depth (ACD), and lens thickness were measured and keratometry and corneal size were checked preoperatively. Also, the continuous curvilinear capsulorhexis size was measured at 7 days postoperative, and CBD was calculated with CTR in a dilated state at 1day, 1week, 1 month, and 2 months postoperative. RESULTS: The mean CBD gradually decreased from 11.30+/-1.76 mm at 1 day, 10.86+/-1.06 mm at 1 week, 10.23+/-1.43 mm at 1 month, and 9.88+/-1.31 mm at 2 months. The AL (R=0.657), ACD (R=0.481), and corneal size (R=0.348) had a positive correlation with CBD at 1 week postoperative. The AL (P=0.000) and ACD (p=0.015) were statistically significant predictive factors for CBD. CONCLUSIONS: Calculating CBD with the CTR helps to improve visual acuity following cataract surgery after implantation of IOLs having appropriate sizes predicted with AL, ACD, and corneal size.
Key Words: Anterior chamber depth;Axial length;Capsular bag diameter;Capsular tension ring;Corneal size


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