When we are faced with a traumatic cataract, there are many factors to consider. The easiest issue is the lens opacity, which we know can be removed and replaced with an IOL. The more challenging issues are the zonular support, the capsule integrity, and the concomitant damage to other ocular structures such as the angle, iris, ciliary body, and even posterior segment.
This patient had blunt trauma to the eye about one year ago and then developed a cataract with a dense central opacity. He is a younger patient and delayed the cataract surgery for many months until he could no longer drive comfortably and safely.
click below to learn how to evaluate the ocular structures and successfully complete this case: