• Back CTR Insertion, Post-IOL
    Dispersive OVD and Morcher Preloaded CTR Next

    Sulcus Fixation with Severe Zonular Weakness

    Cataract/Anterior Segment

    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.