Management options for zonular dialysis

I will demonstrate proper evaluation for earliest detection of zonular dialysis, preoperatively and intraoperatively. In cases with significant zonular weakness of more than 180 degrees, it is unlikely that the surgeon will be able to remove the lens while maintaining the capsular bag for PC IOL support. I have been trying to minimize the risk of vitreous loss by controlling the fluid misdirection using „Iris retractor“. „Slow Phaco“ was performed. IOL was sutured in the sulcus without disturbing the vitreous face. Surgery is performed under complete compartmentalization of the surgical field to minimize the vitreous hydration. Size of the capsulorhexis, location and direction of the IOL is important in minimizing zonular detachment during follow up period.