This is a very tough case where there is displacement of the cataractous lens due to severe zonulopathy. The three main approaches for this case are (1) have your retina colleague perform a pars plana vitrectomy and lensectomy, (2) you can perform M…
This is a very tough case where there is displacement of the cataractous lens due to severe zonulopathy. The three main approaches for this case are (1) have your retina colleague perform a pars plana vitrectomy and lensectomy, (2) you can perform MSICS and remove the nucleus whole (essentially an intra-cap surgery since you will bring out the entire lens and capsule, or (3) very carefully proceed with phaco. And that is what our guest surgeon does. A capsulorhexis is created and the nucleus is brought into the anterior chamber where it can be broken into quadrants. Then the iris is pulled to constrict the pupil and the IOL is placed to block the pupil. This iris and IOL scaffold allows the surgeon to use the phaco probe to remove the nuclear quadrants. What do you think of this procedure?
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