A careful slit lamp microscope examination of the eye during the preoperative consultation can pick up most cases of compromised zonular support.
The most common signs would be those related to pseudoexfoliation syndrome, such as deposition of fibrillar material on the lens capsule and iris. Traumatic zonulopathy may show as an excessively deep anterior chamber, phacodonesis, or a gap between the iris and the anterior lens capsule. In this case, however, the preoperative examination appeared completely normal.
The first indication of zonulopathy was wrinkling of the anterior lens capsule upon