Look at the photo here and you just know that the zonular support is globally weak. There are radial wrinkles in the anterior lens capsule upon attempted puncture by the capsulorhexis forceps. In the vast majority of cataract cases the anterior capsule is taut and easily punctured by these minimally sharp forceps tips. However in this case, it is not possible so I will revert to using a sharp cystotome (bent 27g needle) which is far sharper. How would you complete this case knowing that there is global zonular laxity (instead of focal)? Would you implant a CTR?
