A new method for inferior capsulotomy in the face of ruptured zonules

During routine planned extracapsular cataract extraction, rupture of the inferior zonules was noted while performing the superior portion of the anterior capsulotomy. After the nucleus expression and cortical aspiration, a Sheets glide was placed in the anterior chamber between the anterior and posterior capsule, deep into the capsular bag. This provided a platform for the performance of a controlled inferior capsulotomy in the face of weakened zonular support.