PSC cataracts are posterior sub-capsular and they are commonly seen in conditions such as corticosteroid use (ocular, nasal, inhaled, or systemic), diabetes, and sometimes just bad luck. These opacities are in the central part of the lens at the posterior, just next to the posterior capsule. This brings them close to the nodal point of the eye and they have much more effect on the vision compared to anterior sub-capsular cataracts. These patients often complain of terrible glare from oncoming light sources (sunset, sunrise, car headlights at night, etc) and the treatment is cataract surgery. But these tend to be very soft cataracts with little nuclear density which means that the traditional surgery methods of nucleo-fractis will not work well. A better approach is to bring the soft cataract out of the capsular bag using hydro-dissection. This is the technique I prefer and in this complete cataract case, shown start to finish, we will review everything in detail.
