In previous videos, we have warned against the issue of an intra-vitreal injection inadvertently hitting the lens capsule and causing a cataract. This can be a limited cataract or something far more extensive. I recently learned so much from a presentation from Professor Tom Oetting from the University of Iowa, that I sought permission to share it with you.
The cataract can be severe, such as this case where a white cataract developed within a week. The B-scan ultrasound shows that the posterior capsule is so wide open and we can even see it on an A-scan.
There are other cases of posterior capsule damage from intra-vitreal injections that have very subtle clues or signs. Yet the capsule can still be so weakened that it will split from hydro-dissection. This video lecture from Prof. Tom Oetting goes over all of the important considerations and how to successfully complete these cases.
Click to learn how to safely proceed with this case and successfully finish it: