1080: phaco tip punctures the capsule

This anonymously submitted video shows a complication that can happen to any of us. This patient had a white cataract with very little cortex and when the last little nuclear piece was removed, there was a fluidic current that allowed the posterior capsule to come in contact with the phaco tip. This resulted in a posterior capsule rupture which then posed other issues. In a case like this we can often manage to still get the IOL in the capsular bag as shown in this previous case. There are some great learning points in this video including how to properly inject viscoelastic to tamponade the posterior capsule break and also how to appropriately place the three-piece sulcus IOL. We also show how you can prevent this complication by keeping the chopper in the safe position.

click to learn from this very important video about posterior capsule rupture: