Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this great case at a recent conference. I was so impressed that I asked him for the video to present to our CataractCoach fans. This patient has global zonular laxity and frank phacodonesis with a dense cataract. The question is how to remove the nucleus safely and then secure an IOL in this eye. When shown the case I opined that MSICS with a scleral fixated IOL would be a great option, so I was very surprised when he was able to perform phaco and secure an IOL. This is a must-see video and I’m interested to know what you would do in this case? Please comment below.
