Even if the pupil dilation is asymmetric, the capsulorhexis should be centered. This can be tricky if your normal routine is for the capsulorhexis to follow along the iris margin as a guide. This is why it is important to measure and then get a mental picture of the ideal capsulorhexis prior to performing it. This video is a complete cataract case, start to finish, showing this situation where the pupil dilation is uneven but the capsulorhexis is still precise and centered.
