1640: anterior capsule plaque peeling

Our guest surgeon presents a case of a dense cataract where the cortical lens proteins broke down and caused a fibrotic and calcified plaque to develop. He begins with a small capsulorhexis to access this anterior plaque and then uses the chopper to carefully dissect it from the back surface of the capsule. At this point, what would you do? Begin phaco? Not so fast, my friend, as there is something else to do before picking up the phaco probe…

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