Abstract

To describe an unexpected series of complications and their management in a case of 180-degree Subluxated cataract with Iridodialiysis and anterior capsular rupture to give near optimum results to the patient and proper centration of IOL. It also shows what to avoid and what to learn from such complicated cases.
The capsule was already torn in a horizontal manner, a capsular opening was made to rescue the torn area and the zonular dialysis area, capsular hooks were gently placed to avoid extension of the tear. The rate-limiting step was to place a Capsular tension Ring which was placed by bimanual guidance since the nucleus was soft, after gentle loosening of the capsular hooks. The multipiece lens was placed in the bag and properly centered. Pupilloplasty was avoided in the same setting due to vitreous bulge in the same area of Zonular dialysis and anterior capsular tear.
Patient regained 6/9 BCVA after a 1-month follow-up with well-centered IOL in the bag.
FINANCIAL DISCLOSURE: None.