
Time for you to make the call: you bring the surgical microscope to the eye and just before you start the case, you examine the extent of the cataract. Is this a routine posterior sub-capsular (PSC) cataract? Or is it a more challenging posterior polar cataract? The PSC cataract should be straightforward with a low degree of risk while the polar cataract means that the posterior capsule is weak, fragile, or even partially absent. What is your call and how do you approach this case? In this complete cataract case, I show you my approach and I explain my thinking.