We all know that posterior polar cataracts are challenging because at the site of the polar opacity the capsule can be weak, fragile, or even frankly absent. Studies from Vasavada and Osher have demonstrated that about one third of these cases may result in posterior capsule rupture and related complications. The key step is to perform only hydro-delineation while avoiding hydro-dissection. Once the cataract is removed, this patient is left with a small central opacity. The question is, Do you attempt to remove this with the IA probe or do you just plan a YAG laser capsulotomy in the near future? What is your choice?
