Weak zonular support makes cataract surgery far more challenging and increases the potential risks such as vitreous prolapse, retained lens … More
Tag: weak zonular support
1483: challenging case of ectopia lentis
Our guest surgeon, Dr Guillermo Amescua, is an outstanding surgeon at the Bascom Palmer Eye Institute in Miami, Florida, USA. … More
1453: Quiz: What is your next step?
This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is … More
1422: IOL surgery for ectopia lentis
While having a dislocated crystalline lens is a rare occurrence, it can pose surgical challenges due to the lack of … More
1401: nucleus division with weak zonules
Our guest surgeon shows two techniques that can be useful in cases where the zonular support is weak. There is … More
1273: that’s not cortex being aspirated…
This is a good learning case, and I am thankful to Dr Amar Kulkarni for submitting it. We see zonular … More
1248: surgeon surprised by zonular loss
A careful slit-lamp microscope examination of the eye during the pre-operative consultation can pick up most cases of compromised zonular … More
1232: traumatic loss of zonular support
This patient sustained severe ocular trauma that resulted in loss of more than 180 degrees of zonular support. He has … More
1144: white cataract intra-capsular surgery
Decades ago the standard cataract surgery was an intra-capsular cataract extraction. This involved making a large incision, injecting alpha chymotrypsin … More
1133: Capsule grabbed with phaco probe
Ideally, you want the tip of the phaco probe to stay in the central zone of the anterior segment and … More
1068: sutured capsular tension segment
This patient was born with a lens coloboma where part of the crystalline lens did not develop and there is … More
1053: that’s not cortex you’re pulling!
In this anonymously submitted video, we see that if the capsule is inadvertently grabbed by the suction from the I/A … More
This subtle sign indicates weak zonules!
This is a very subtle sign — looking at this title pic, we see a demarcation line just inside the … More