Episode 66: Sudden Zonular Failure
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.
Financial Disclosure: Richard J. Mackool, MD & RJ Mackool, MD: Consultant: Alcon; Patent Holder: Crestpoint Management