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    By Ahmed ElKateb, MD
    Video Journal of Cataract and Refractive Surgery
    Cataract/Anterior Segment

    After uneventful phaco, a hydrophilic acrylic IOL was injected but suddenly shot out like a bullet, causing  a 180-degree zonular dialysis with the capsular bag still intact. OVD was injected and the wrinkled capsular bag re-inflated. A capsular tension ring was inserted through a side port to stretch the capsular bag, and a capsular tension segment was used to fixate the capsular bag to the sclera. After suturing of the scleral pocket, a 1-piece hydrophobic acrylic IOL was injected into the capsular bag, and the IOL and capsular bag were recentered.