Pseudoexfoliation: collar button capture for zonular deficiency by Steven G. Safran MD

This is a patient with severe psuedoexfoliation and mild phacodinesis at the slit lamp who I performed uncomplicated phacoemulsificaiton on. After a very straightfoward phaco procedure you can see that there is severe zonular deficiency in the inferotemporal quadrant. After using a "dry" cortical "tease" to get this weak area cleaned up a CTR was placed in the capsular bag and I chose to put the IOL with the haptics in the sulcus and the optic in the bag. This allows the haptics to be supported by the ciliary sulcus rather than completely by the zonules and provides much more stabilty in these cases than putting the lens completely in the bag. I've used this technique on many dozens of patients with no decentration. If necessary one haptic can be sutured to sclera OR a CTS can be used and sutured to sclera as well. In this case I did not feel this was needed.

Category:

Science & Technology

Tags:

• PXScollarbutton1