Pulling On More Than Cortex
In this video, a 90-year-old patient with a very dense cataract but no known pseudoexfoliation or trauma undergoes phacoemulsification. The hard nucleus was eventually removed, and the rhexis was intact. During cortical removal the zonules were weak across from the incision. We tried additional hydrodissection and cohesive viscodissection but eventually had to place a CTR inorder to safely remove the residual cortical material. The IOL centered nicely.