It is a complication that happens to 100% of cataract surgeons: a ruptured posterior capsule allows the lens nucleus (or lens fragments) to drop into the vitreous cavity. Even expert surgeons with tens of thousands of cases of experience will still run into this complication every once in a while. For an advanced surgeon this risk is less than 1 in 1000, but it still happens particular when there is underlying capsule pathology such as a posterior polar cataract or a prior intra-vitreal injection which damaged the lens capsule. Our guest surgeon today does a great job of managing this complication. What would you do in this case?
