1859: MSICS with iris & lens coloboma

This is a tough case of a dense cataract in a patient with an iris and lens coloboma. This means absent zonular support for a large area of the capsular bag and a high likelihood of vitreous prolapse. Our guest surgeon does a great job with this tough case by using the MSICS technique and placing a capsular tension ring. How would you approach this case and would you attempt a repair of the iris defect?

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