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Target Audience: Ophthalmologists with an interest in cataract surgery.
Learning Objectives: To demonstrate phacoemulsification of a very dense nuclear cataract, IOL options in the absence of capsular support, and incision management to reduce astigmatism.
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Episode 37: 89 y.o. with Dense Cataract, Absent Zonule and AC IOL Implantation
We start our 4th season with a very interesting case! My preoperative plan was to use a toric IOL in this 89 year old patient with a very dense cataract. After discovering a complete lack of zonular support, I perform a vitrectomy and change my lens choice to an AC IOL. I discuss control of the remaining astigmatism near the end of the procedure.
Richard J Mackool, MD Financial Disclosure: Consultant: Alcon; Patent Holder: Crestpoint Management, MST
