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thanks. but dont you risk hemorrhage if you go through the pars plicata?

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Very good points! I always check for retinal tears at every visit after a case with vitreous removal. It is very rare (much less than 1%) for Gore tex sutures to erode, provided that cautery is NOT applied in that area. If that does occur, a patch graft is required. The external location of the suture site correlates poorly with the internal location. It is dependant on unique anatomy, but also upon the angle of entry into the sclera. I try to enter plane to the iris so that the external entry site is further form the limbus and thus less likely to erode. Also, The bag typically attaches to the zonules which are attached to the pars plicata, and, accordingly, a more posterior site han the sulcyus makes it more likely to have a planar IOL position and, in addition, reduces the chances of chaffe of the iris in the fixation elelment. Thanks! Mike

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im very surprised you tried to proceed w/o css. whew! question: why are you tying the capsule so far back, when i see most surgeons tie it 1.5mm from limbus, in the sulcus?

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Nice video, thank you. Do you perform a search for retinal iatrogenic breaks at the end? And, any chance of conjunctival erosion with the Cionni ring suture just underneath the conj? Probably a scleral flap could be better? Thank you, great case.

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nice video

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Excelent video and presentation

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