This younger patient has a posterior polar cataract with new PSC (posterior subcapsular) spread of opacities, thereby significantly limiting the vision. We know that there is a higher rate of posterior capsule rupture in these cases (about 1 out of 3 patients in the studies by Vasavada and Osher), so we must use an alternate technique. That means avoiding hydro-dissection and instead doing just hydro-delineation and then visco-dissection. There are so many great pearls to be learned from this complete cataract case.
