What is the best way to perform cataract surgery when the patient has global zonular laxity? When all of the zonular support seems weak, as opposed to a trauma case with focal zonular loss, you have a high risk of having pseudo-phacodonesis after the cataract surgery. I learned from a lecture by Dr David Chang where he conclusively showed that the best outcomes in these cases is achieved by placing a capsular tension ring (CTR) in the capsular bag followed by a three-piece IOL with the haptics in the sulcus and the optic captured behind the capsulorhexis. Today’s video features our podcast guest from yesterday, Dr Miguel Rechichi who utilizes this technique.
