This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the case. We have reviewed this complication countless times over the years on CataractCoach.com and you should already know exactly what to do in order to recover from this, including the specific parameters for your phaco machine.
Managing your first cataract case complicated by a posterior capsule rupture (PCR) is stressful, but it is also an essential learning milestone. The most important principle is to slow down. Pause, stabilize the situation, and reassess. Avoid making sudden instrument movements, which can worsen the rupture or allow vitreous prolapse. Maintain anterior chamber stability with gentle infusion and ensure you are not over-pressurizing the eye. Keep your mental checklist simple: identify whether vitreous is present in the anterior chamber, maintain a closed system, and avoid traction on any vitreous strands. Decide on the safest IOL option, whether sulcus placement with optic capture is appropriate or if leaving the eye aphakic is safer for now. Most importantly, remember that complications happen to every surgeon. Your composure and decision-making matter more than technical perfection. What is your advice for this young surgeon? Comment below.
hi, i m a eye surgeon you is working in turkey. and our viscoelastic material is not good and when eye use the viscoelastics for stabileze vitreus the pressure of eye on healing phase is increase about 40 and 50 mmhg. and this situtation continues like 2-3 days, how can i prevent this situtation