Weak Zonules: Capsule Retractors

Show Description +

A monocular 75-year-old presents with very weak zonules and develops a zonular dialysis during phacoemulsification. David Chang, MD, uses the Mackool Capsular Retractors (FCI-Ophthalmics, Marshfield Hills, MA) to hold the the bag forward during nucleus removal. The bag is filled with a dispersive OVD to protect the posterior capsule during bimanual cortex removal. A CTR is placed prior to removing the Mackool Capsular Retractor and an IOL is placed in the sulcus stabilize the lens against the cilliary body.

Posted: 3/30/2010

Up Next

Name: Weak Zonules: Capsule Retractors
Uploaded: 2010-03-30T17:13:00+00:00

Management of Dislocated Posterior Chamber IOL

Altan A. Ozcan, MD

Posterior Lamellar Keratoplasty and Dislocated IOL

Ozana Moraru, MD

Scleral Fixation of Dislocated IOL Complex

Majid Moshirfar, MD

PXF Dislocated IOL, IOL Exchange with Gortex Sutured IOL

Michael Patterson, DO

Refixation of a Dislocated Gortex Sutured Akreos IOL

Jason N. Crosson, MD, Michael A. Albert MD

Dislocated IOL to Glued IOL

Michael Patterson, DO

Bubble Bubble Toil and Trouble

Jason Jones, MD

Phacoemulsification Hard Cataract With Lens Coloboma

Maneesh Bapaye, MD

Phaco Debulk Chop for Dense Cataracts

Iqbal "Ike" K. Ahmed, MD, FRCSC

My Technique for Modern ECCE

Ashraf Armia, MD

Weak Zonules: Capsule Retractors

David Chang MD

Posted: 3/30/2010

Please log in to leave a comment.

Comments

David Chang

15 years ago

I always start with a CTR to assess bag stability. I may insert the IOL into the bag at this point. Even if using a 3-piece IOL in the sulcus, you still want to avoid the bag from contracting (due to insufficient centrifugal zonular counter traction) into a crumpled up capsular mass.

elizabeth small

15 years ago

Why would you bother to insert a CTR if you are putting a PCIOL in the sulcus?

Weak Zonules: Capsule Retractors

Up Next

Weak Zonules: Capsule Retractors

Comments

More in Cataract