Sometimes with white cataracts, it can be difficult to notice subtle signs during the pre-operative exam and consultation. In this case, the capsule looked fine until the patient was on the operating room table and trypan blue dye was instilled. Now you can see extensive wrinkles and fibrosis of the anterior lens capsule. How would you perform the capsulorhexis in this case? What are the challenges and risks? What is the secret to success?
