This patient had a seemingly routine cataract surgery but after the IOL is placed into the intact capsular bag, a nuclear chip is noted behind the optic. But this cataract fragment is also behind the posterior capsule. We have explained previously that a fragment can slip through lax zonular support and end up behind the capsule in Berger’s space. In quite a number of seemingly routine cataract cases we can see small opacities of lens material that have migrated in front of the anterior hyaloid face. In this case, what would be your approach? Please comment below.
Leave the fragment, it will move itself out of the visual acid
Leave it alone, you could always YAG it if need be or it will be absorbed spontaneously on its own