1598: resident posterior polar cataract

We have covered posterior polar cataracts so many times that there is a separate category for these tricky cases. The challenge is that the posterior capsule at the site of the opacity is weak, fragile, or even frankly absent. This makes the complication rate far higher and previous literature from Dr. Abhay Vasavada and Dr. Robert Osher have demonstrated about a 30% capsule breakage rate. We can lower the risk by doing different maneuvers and avoiding others. The most common recommendation is to avoid hydro-dissection since this can cause a posterior capsule rupture instantly. This video was sent in by a young resident who we will keep anonymous (we tend to keep all resident cases and complication cases anonymous). Our goal is to learn and this case has some great surgical pearls.

link here

Leave a Reply