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Date: 31Mar2021 Surgeon: Dr. Bryant Giles, DO (PGY4) & William Dennis, MD (PGY3) Cataract Case #259 Lens: Johnson & Johnson/Tecnis ZCT150 (monofocal, toric lens for distance) This patient had a previous vitrectomy, which introduces a lot of variables, once such being the possibility of weaker zonules. In this video, we see damage to the weak zonules causing a 3 clock hour zonular dehiscence. After successful lens removal, a capsular tension ring was placed. The bag was intact but falling posterior. A sutured Ahmed capsular tension segment (https://www.beye.com/product/ahmed-ca...) was then placed successfully, which allowed safe placement of a toric monofocal lens. The patient did well during and after surgery. This video is sped up for viewing purposes. *This surgical video was created and shared with permission from the patient. No patient identifiers or personal information was shared via public sharing of this video.