This patient has a dense posterior capsule opacity and also has a small pupil which does not dilate with maximal pharmacologic agents. So what is the next move? Prior to the advent of the YAG laser, clearing of a posterior capsule opacity was done by placing a needle through pars plana and then scraping the back surface of the IOL. In this video our guest surgeon elects to perform a limited pars plana anterior vitrectomy and posterior capsulotomy. Have you ever tried this technique? Please comment below.
