Look carefully at this picture: what do you see? There is a three-piece IOL in the sulcus and there is a large white opacity covering about half of the optic. This is retained lens cortex after a complicated cataract surgery submitted by an anonymous resident surgeon in training.
In this case, there was a rupture of the posterior capsule and the resident surgeon, under the guidance of an anonymous attending ophthalmologist, decided to leave this cortex behind rather than risk vitreous prolapse. What would you have done? And now, given this post-operative condition, how can you fix this problem?
Click below to learn from this cataract quiz of retained lens cortex:
