Dense white cataracts are challenging for multiple reasons: the opaque lens blocks any red reflex, the capsular bag may be fluid-filled and under pressure, the dense nucleus requires more effort to disassemble, and there can be concomitant pathologies. When a beginning surgeon who has completed fewer than 50 or 100 cases attempts to perform cataract surgery for a dense white cataract, it is a bold move.
The surgeon in this anonymously submitted video uses trypan blue dye to stain the anterior lens capsule and completes the capsulorhexis without complications. The challenge is how to divide the nucleus.
Click below to learn from this interesting surgery: