JUL 24, 2023
Phaco with Zonulopathy: My Best Teaching Videos
AAO 2022
Cataract/Anterior Segment, Weak Zonules
These cases illustrate a spectrum of techniques to detect and treat anterior and posterior capsule complications and zonulopathy. Topics include
- capsular dye
- torn continuous curvilinear capsulorrhexis (CCC)
- secondary CCC enlargement
- little tear-out rescue technique
- CCC-optic capture
- reverse optic capture
- posterior CCC
- early recognition of posterior chamber rupture
- conversion from topical/clear corneal incision to manual extracapsular cataract extraction
- posterior polar cataracts
- capsular tension rings and capsule retractors for zonulopathy
- small pupil/intraoperative floppy iris syndrome strategies (hooks and pupil expansion rings, mydriatics)
- pars plana bimanual anterior vitrectomy (±triamcinolone)
- viscoelastic posterior-assisted levitation (PAL) plus viscoelastic trap for descending nuclei
- intraocular lens (IOL) fixation with torn anterior or posterior capsule or zonular dialysis.