Cataract in the Posterior Segment

Dr. Jose Ferreira Mendes presents a case of a subluxated crystalline lens following blunt trauma and severe zonular dehiscence. The lens is stabilized against the iris during capsulotomy and capsulorhexis. Hooks were used for temporary stabilization of the anterior capsule, and 2 Hoffman’s pockets were created 180 degrees apart. Phacoemulsification and aspiration were carefully performed, followed by triamcinolone-assisted anterior vitrectomy. Each haptic of a double-ringed CTR was aligned with a pocket and sutured with 10-0 Prolene across the ciliary sulcus to anchor the ring to the sclera, which allows for hidden fixation. A monofocal IOL is inserted, and the capsular bag is recentered.