Ocular trauma suffered 30 years ago has left this young man with a calcified and partially resorbed cataract, advanced phacolytic glaucoma and complete absence of zonular support. Completing our 3-part
series of complicated cases, this video begins with a discussion of
the preoperative OCT image. During the procedure I discuss its formidable challenges and explain the methods necessary to remove the extremely rigid lens.
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