1409: vitreous prolapse into the AC

An anonymous surgeon submitted this video and I knew that I had to share it with our fans. Every surgeon encounters complications in surgery and 100% of cataract surgeons will need to manage vitreous prolapse into the anterior chamber. What I like about the video is how calmly and effectively this complication was managed. And the patient benefitted as well with a great visual result. The bimanual anterior vitrectomy was performed very well and care was taken to fully remove the residual cortex without further damage to the capsule. The key is knowing the difference between the two primary modes: I/A cut versus anterior vitrectomy. The sulcus IOL is securely placed with optic capture and the case ends well. This absolutely will happen to you in the future (multiple times) and now you will know how to effectively salvage the case.

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