By David F. Chang, MD
    Video Journal of Cataract and Refractive Surgery
    Cataract/Anterior Segment

    Dr. David F. Chang performs cataract surgery on a patient with a badly subluxated lens due to Marfan syndrome. He starts by creating a Hoffman pocket, and begins the capsulorhexis away from the area of greatest zonule laxity. Capsule retractors are placed before hydrodissection and hydrodelineation. The retractors help support the lens capsule and restrains the equator from being aspirated into the phaco tip.  A modified Malyugin/Cionni capsular tension ring placed in the bag, which is then sutured to the sclera through the Hoffman pocket for secure fixation.