1876: white cataract with posterior polar

This patient had cataract surgery of the first eye done elsewhere and the surgeon noted a posterior polar opacity. This ended up causing a rupture of the posterior capsule during that first cataract surgery and at the consultation you can see this defect. Now the patient presents with a white cataract of the other eye and while you cannot see a posterior polar opacity, you highly suspect that it is present. So how would you proceed with this tough case? I would have handled parts of this case differently however, our guest surgeon’s technique is good too. There is a saying that perfection is the enemy of good — meaning that if you have a good result in this tough case, leave it alone rather than trying to get a more perfect result at the risk of a complication.

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