How to Handle a Wrinkly Old Bag

In this short video, Dr. Hassan Khaled shows how to remove a wrinkly old bag, which is a redundant capsular bag that presents during the cortex removal of dense cataract in a very old patient. Preoperatively, there were no signs of zonular weakness on slit-lamp examination, and no zonular weakness signs were noted during capsulorrhexis or the cataract emulsifying steps. However, when the cortex was removed, a redundant capsular bag with posterior capsular striae was found. Insertion of a capsular tension ring inside the bag can help in stretching the posterior capsule and securing the stability of the IOL in the bag.

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