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Intraoperative Zonular Disaster - Surgical Management of a Complicated Case

  Channels: Cataract Surgery | Posted 12/22/2011

Alin Stefanescu-Dima, MD, PhD, presents a case of hypermature, Morgagnian cataract, with fibrous anterior capsule, extreme zonular weakness and hard, brown nucleus moving freely within the lens bag. During the nucleus fracture, a large zonular dehiscence occurs, expanding over 6-clock hours. Therefore iris hooks and CTR are placed to support the bag. At the end of phacoemulsification a small posterior capsule tear is noticed which is converted into PCCC. No vitreous presented in the anterior chamber. A lens is implanted in the sulcus, judging this position to offer a better long-term stability.

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