1989: anterior zonular attachment

This is a very rare case which I have seen in less than 1 out of 1000 cataract surgeries. This patient has a small eye (20 mm axial length) and is highly hyperopic (+6 for distance vision, +8.5 for reading) with a small white-to-white and a pupil that dilates only to about 5 mm in diameter. What is highly unusual is the very anterior (and central) attachment of some of the zonular support fibers. This begs the question: How can you do the capsulorhexis like this? Leave your best suggestion in the comments below before watching the video…

link here


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