The problem with using two hands to hold the capsulorhexis forceps is that you lose the ability to have the other hand assist you. In the case shown here, the patient is simply unable to keep looking at the microscope lights and the eye wanders. This will make it difficult to perform a capsulorhexis. The solution is to use the other hand, the left hand in this case, to fixate the eye by hooking the paracentesis incision with the chopper. Now the right hand can be used to create a well-centered capsulorhexis.
There is another surprise: the patient suddenly moves during the surgery and you see wild movements of the eye from the microscope view. We also address this issue. Watch the video to learn how
Click below to learn how to fixate the eye to aid in capsulorhexis creation: