1381: please do not fish in the vitreous

When a posterior capsule rupture is encountered during cataract surgery, an anterior vitrectomy often needs to be performed to remove the prolapse vitreous from the anterior segment of the eye. Remember that cataract pieces that fall back into the vitreous cavity quickly become engulfed and attempts to fish for them may result in retinal complications. In the case shown here, the vitreous fishing ended up causing multiple retinal breaks and a small detachment. We are fortunate that it did not result in a giant retinal tear and further vision loss. Our guest surgeon is a vitreo-retinal specialist and he rescues the situation and gives the patient an excellent outcome.

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