This is a good learning case, and I am thankful to Dr Amar Kulkarni for submitting it. We see zonular dialysis when the aspiration probe inadvertently grabs the capsule. This happens a couple of times, but by using viscoelastic and care, the cortex is successfully removed and a capsular tension ring (CTR) is implanted in the bag to provide support and stability for the IOL. All surgeons will inadvertently grab the capsular bag on occasion, that is simply the nature of our surgery. The key is to recognize it quickly and release the suction prior to iatrogenic damage.
And to my USA readers, Happy Halloween — this can certainly be a scary complication!
click to learn from this case where a capsular tension ring saves the day: