This 23 year old patient was involved in an accident and developed bilateral traumatic cataracts. When we examine the patient during the pre-operative consultation, we see complete cortical whitening as well as a bulging anterior lens capsule. There is no evidence of zonular weakness and the posterior capsule and posterior segment appear normal on ultrasound examination.
The risk here is an uncontrolled tearing of the anterior lens capsule when we perform the capsulorhexis. To prevent this, we try two different techniques, with a different resident surgeon operating on each eye (with supervision).
Click below to learn how to deal with this challenging situation: