I enjoy posterior polar cataract surgery because of the challenge. We know that at the site of the polar opacity the posterior capsule is weak, fragile, and sometimes partially absent. We cannot use our typical cataract surgery techniques lest we risk a blow out of the posterior capsule, dropped nucleus, and vitreous prolapse. We have an entire section devoted to posterior polar cataracts on CataractCoach because there is a spectrum of cases with varying degrees of nuclear density. This case is a younger patient with a soft nucleus. This video is a complete case, start to finish, which shows my preferred technique in these eyes. Also we implant a three-piece silicone IOL… can you guess why?
Here is a paper published by Dr. Osher and Myself giving our input on how to work with these cases. Recently published on the JCRS, many similarities in the approach. Great admirer of your work!
Journal of Cataract & Refractive Surgery: November 2022 – Volume 48 – Issue 11 – p 1233-1234
doi: 10.1097/j.jcrs.0000000000001004