In this anonymously submitted case from a resident surgeon in training, there are many great lessons to be learned. We have previously explained how to sculpt a nuclear groove in this video, which emphasizes that the center of the cataract is thicker than the periphery.
In this case, the phaco probe punctures through the central lens nucleus as well as the peripheral lens equator. The posterior capsule is further ruptured when the resident surgeon performs a cracking technique which places stress on the capsular bag. Next, nuclear pieces fall into the vitreous cavity. How will this case be recovered? How can we achieve a good outcome for the patient?
Click below to learn how the capsule ruptured and how to recover from this complication: