Assessment of visual prognosis of phacoemulsification in zonular dehiscence at pre, intra and post-operative period

Background: Zonular dehiscence (ZD), referred to as the presence of deficient zonular support for the lenticular capsule, might be the result of several causes and be detected only at the time of cataract surgery. The aim of this study was to evaluate variety of visual outcome of pre-, intra-, and postoperative features of eyes with ZD regardless of the etiology detected during Phacoemulsification. Methods: A single center descriptive case series study was performed at Combined Military Hospital, Dhaka to identify patients’ visual outcome who underwent cataract surgery whose procedure was described intraoperatively as being complicated by various extent of ZD from January 2021 to July 2021. Patient characteristics, intraoperative clinical findings, visual and refractive outcomes and postoperative complication were recorded. Use of CTR routinely in phacoemulsification regardless of whether zonular dehiscence is present to reduce the risk of delayed IOL dislocation or capsular contraction. Results: ZD was identified intraoperative in 30 eyes of patients. Among 30 patients 60% surgery was done in the right eye and 40% were in left eye. Among 67% cases the degree of Zonular dehiscence was