Learning to perform a consistent capsulorhexis is one of the toughest steps of cataract surgery. The anterior capsule is only about 14 microns thin which is just a fraction the width of a single strand of hair. The lens capsule is also unforgiving and mistakes cannot be undone or restored to perfect, but we can recover from a radialized capsulorhexis and still provide a good visual outcome for our patients.
This video shows a resident case where the capsulorhexis runs out towards the lens equator and zonular attachments. We show the techniques to recover from this and then successfully complete this case.
Click below to learn how to recover from a radialized capsulorhexis: