Phacoemulsification in Extreme Zonular Weakness

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Maneesh Bapaye, MD, shares a case of a 75-year-old female patient with dense nuclear sclerosis who was referred for routine phacoemulsification and IOL implantation. However, severe zonular weakness was noted with movement of whole bag. This video demonstrates strategies that can be used in such situations to avoid excessive zonular stress that can result in zonular loss and eventually loss of capsular support.

Posted: 10/08/2024

Phacoemulsification in Extreme Zonular Weakness

Maneesh Bapaye, MD, shares a case of a 75-year-old female patient with dense nuclear sclerosis who was referred for routine phacoemulsification and IOL implantation. However, severe zonular weakness was noted with movement of whole bag. This video demonstrates strategies that can be used in such situations to avoid excessive zonular stress that can result in zonular loss and eventually loss of capsular support.

Posted: 10/08/2024

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Comments

eslaaaaam kohlyyy

1 year ago

Great case, Thank you for sharing - the only thing I could have done differently is to enlarge the rhexis at the end to avoid capsular phimosis later on. Well done.

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