This month I demonstrate the use of the Trendelenburg position in order to gain adequate access to a “deep set” eye during cataract-implant surgery with toric IOL implantation . The pupil dilates only moderately, and possible pharmacological causes of poor dilation are discussed: several techniques that increase and/or maintain pupil size are demonstrated, as are methods to chop the nucleus and protect the posterior capsule during subincisional cortex removal.
2022 Videos
Episode 84: Pseudoexfoliation, Miotic Pupil and Moderate Zonular Laxity
An eye with pseudoexfoliation exhibits moderate zonular laxity and a small pupil that requires enlargement. The options (capsule tension ring, capsule retractors, or a manual