OCT 26, 2011
CTR Insertion, Post-IOL
Dispersive OVD and Morcher Preloaded CTR
Sulcus Fixation with Severe Zonular Weakness
In cases of severe diffuse zonular weakness, preservation of the capsular bag does not assure long-term IOL fixation if the zonules progressively weaken with pseudoexfoliation. Despite CTR use, capsular bag IOL implantation may result in delayed bag-IOL dislocation. In this situation, an underutilized option is sulcus fixation of a 3-piece IOL, as demonstrated by this series of 3 cases of diffuse zonulopathy. The option of capturing the optic with the capsulorhexis is also demonstrated.