1736:capsule break from OVD bubbles

I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas that surprised me. During a routine cataract surgery case, he was injecting a dispersive viscoelastic and suddenly some bubbles that were in the OVD pushed with enough force that the posterior capsule ruptured. And then it happened to him again. I have never seen this complication before and Dr Wong has only encountered it these two times over the past 25 years of using the same OVD (OcuCoat by B&L which is 2% hydroxypropyl methylcellulose = HPMC). Watch this video and see how he recovers nicely and still is able to secure place the IOLs, including a single piece acrylic trifocal IOL.

link here

1 Comment

  1. Trifocal iol in the first case, optic is placed above the anterior capsule, so patient will have some refractive error but he must be expecting completely clear vision without any refractive error.
    So how to explain the patient in this case,sir.
    Thank you

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