Our guest surgeon performs cataract surgery for this 5 year old child with galactosemia and he uses pearls learned from Howard Gimbel MD about IOL fixation. In this case a primary posterior capsulorhexis is made and the optic of the three-piece IOL is captured behind this posterior capsular opening while the haptics are placed in the ciliary sulcus. This allows for very stable long-term fixation. This video will explain the various options and the required considerations including changes to the IOL power to account for a different effective lens position.
