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Rock hard cataracts are frequently accompanied by additional surgical risk factors. This is an ultrabrunescent cataract in an eye with prior angle closure glaucoma, a very crowded anterior chamber, and a fixed, small pupil. To create enough working room, a pars plana vitreous tap must be used and the pupil is dilated with a Malyugin ring. The associated significant zonulopathy must be managed with capsular retractors and then a capsular tension ring.
Filed Under
Cataract
challenging case
rock hard lens
brunescent cataract
zonulopathy
small pupil
mature lens
Malyugin ring
surgical technique
cataract case
complications management
View More Presentations from SYM-208
This presentation is from the session "SYM-208: Sweating Bullets: A New Competition" from the 2019 ASCRS Annual Meeting held on May 4-7, 2019 in San Diego, California.