During cataract extraction on an eye with pseudoexfoliation, a poorly dilating pupil, glaucoma and astigmatism, the nasal region of the zonule suddenly fails, enabling vitreous to prolapse through the zonule deshiscence. The use of capsule retractors, a sulcus fixated IOL with optic capture, 2 trabecular microstents and a pair of limbal relaxing incisions are demonstrated during this complex procedure.
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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