Weak zonules, capsule retractors and sulcus fixation
by David Chang

Video Atlas of Ophthalmic Surgery

by Ashok Garg
About Video

Phaco of a rock hard nucleus in the setting of weak zonules is a formidable challenge. This video demonstrates pearls for trypan blue anterior capsular staining, the use of iris retractors to support the capsular bag when necessary, and phaco chop to fragment the nucleus with reduced zonular stress. Using a dispersive viscoelastic to remove the cortex using bimanual IA instrumentation in the setting of a floppy posterior capsule enhances safety. Sulcus placement of a 3-piece PC IOL reduces the l

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