1068: sutured capsular tension segment

This patient was born with a lens coloboma where part of the crystalline lens did not develop and there is about 180 degrees of zonular absence. For cataract surgery, how can we ensure a stable IOL? Dr Ori Mahler from Israel shows his technique of using a capsular tension segment which is then sutured to the scleral wall. The IOL is then placed in the capsular bag.

click to learn from this unusual and challenging case of a lens coloboma: