3106: first time using capsule hooks
Using capsule hooks for the first time for a resident can be stressful. This zonulopathy case requires a step-by-step approach to stabilize the capsular bag safely. When encountering weak or compromised zonules around the 200th cataract case milestone, inserting iris hooks or dedicated capsule retractors through paracentesis incisions allows the surgeon to engage the capsulorhexis margin securely. Adjusting the collars on each hook establishes precise outward centrifugal tension, re-centering the capsular bag and preventing capsular flutter or vitreous prolapse during phacoemulsification. Learning this stabilization technique early in training empowers residents to manage pseudoexfoliation, trauma, or other zonular disorders effectively. Watch the video to follow this resident step-by-step through her first deployment of capsule hooks in a compromised zonular case. What tips do you share with trainees when they first learn to balance and adjust capsule retractors for zonulopathy? Please comment your thoughts below.
