While most patients undergoing cataract surgery have good support of the lens capsule, there are cases in which zonulopathy can pose a challenge intraoperatively.
Certain conditions such as pseudoexfoliation are associated with global zonular weakness, while ocular trauma is typically linked with focal or quadrant zonular loss. In many cases of focal zonular loss, the lack of capsular support is only noticed intraoperatively when the nucleus has been removed and the capsular bag is now unsupported by it.
Unbeknownst to the surgeon, this patient sustained a car airbag injury many (Read more...)