Our guest surgeon today is Dr Ahmed Al Habash who shows us the best technique of dealing with a posterior capsule rupture during irrigation/aspiration. This patient has a posterior polar cataract and we know that the capsule is very weak and fragile at the site of the opacity. An attempt to clean it was made and the central posterior capsule suffered a break. It was expertly converted into a posterior capsulorhexis and the anterior hyaloid face remained intact so there was no vitreous prolapse. The IOL was then successfully placed in the capsular bag. There are some very important learning points in this video and it is worth studying them carefully. A less experienced surgeon would encounter vitreous prolapse and would not be able to place the IOL in the capsular bag.
Click below to learn how to recover from a posterior capsule break during I/A: