Wrinkling of the anterior capsule during the performance of the capsulorhexis can be concerning because it indicates that zonular support could be compromised. Ideally, we want the zonular support to be strong so that the anterior lens capsule is taut like the head of a drum. When it wrinkles, as shown in this complete cataract case, it is a sign that we should proceed with caution. This is a complete case from start to finish so that you can learn my approach to these cases.

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