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Target Audience: Ophthalmologists with an interest in cataract surgery.
Learning Objectives: To present pre and intraoperative signs of zonule weakness, removal of retrocapsular opaque vitreous, injection and scleral fixation of a modified capsular tension ring by ab externo suturing, and surgical treatment of infusion misdirection syndrome that was resistant to intracameral OVD injection.
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Episode 32: Cataract, Vitreous Opacification and Zonular Weakness
For our viewers who have requested complexity, this one certainly fits the bill: a highly myopic eye with previous retinal detachment, scleral buckle and partial pars plana vitrectomy, residual anterior vitreous opacification, shallow anterior chamber, convex anterior capsule, extreme zonular weakness, infusion misdirection syndrome and 3 diopters of astigmatism requiring toric IOL implantation. Whew!
Richard J. Mackool, MD Financial disclosure: Consultant to Alcon, Diopsys. Proprietary interest in MST, Impex.