You are performing routine cataract surgery and then you suddenly notice that the posterior capsule is open and a nuclear piece has just fallen back into the vitreous cavity. What is your next move? How do you retrieve this nuclear fragment?
Click below to see how this case was rescued:
I think all over the world,if not especially at aao meetings for the last ten years or so,the take home message was and is to do anterior Vitrectomy through par plans approach always and always……..
Some vitreoretinal surgeons ask to not implant IOL to remove nuclear peaces through main incision just using phaco probe and PFCLs to lift those pieces up. There is no any benefit to put IOL right after complication especially when nuclear pieces are pretty huge. What is your opinion, dear colleagues?