For an anterior capsular tear that has not extended posteriorly, what lens options (i.e., 1-piece monofocal, toric, multifocal, and 3-piece) and placement options would you still consider?

I have found the single piece acrylic lenses unfold so gently that they don't extend the tear. I have experienced this about 3 times, and none have needed any other procedures, IOL exchange, or the like. I did a YAG capsulotomy on one of them without issue.

If the anterior capsular tear is small and the rest of the capulorrhexis is <5 mm, then a one-piece in the bag is reasonable. If you place a toric, you must be careful with rotation, so it should be done gently. A 3-piece in sulcus is always safe. Be careful with a 3-piece in the bag, as it can spri...