2990: the bag rotates back and forth!
This video presents a complete cataract case from start to finish in a high myope with a history of a prior vitrectomy. During cortical cleanup and nuclear rotation under the microscope, the capsular bag noticeably rotates back and forth. This shifting definitely indicates significant underlying zonular laxity and instability. To counteract this movement and ensure absolute capsular stability, the placement of a capsular tension ring is required to expand the equator and distribute the mechanical forces evenly across the remaining zonular apparatus. Safely managing these hyperelastic or compromised bags requires meticulous fluidics and gentle instrument maneuvers to prevent a further zonular dialysis. Watch the step by step technique to see how the ring is safely deployed to achieve great centration for the final intraocular lens implant. What are your criteria for placing a ring in high myopes? Please comment below.
