This patient has a dense white cataract and it is also intumescent in nature. There is sufficient pressure within the capsular bag that the capsulorhexis immediately runs out to the lens equator. This poses a challenge for the rest of the surgery because this weak point can allow the tear to extend to the posterior capsule. This patient also has another surprise for you… something comes up through the site of the capsular tear and it is not vitreous…
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