2989: every step is risky with posterior polar
This instructive video demonstrates a highly challenging case where an anonymous resident surgeon navigates a posterior polar cataract. When dealing with this specific pathology, every single step of the procedure carries significant risk because the posterior capsule is inherently weak and can split or rupture at any given moment. Traditional techniques must be heavily modified, completely avoiding hydrodissection to prevent fluid pressure from blowing out the central capsule flaw. Instead, careful hydrodelineation and gentle mechanical division are mandatory to isolate and emulsify the lens core safely. Watch the video closely to see the exact moment the capsule splits despite cautious maneuvers, and notice how the surgical strategy must instantly shift to manage the open capsule and vitreal space. What is your preferred technique to avoid capsule rupture during posterior polar cases? Please comment your thoughts and surgical pearls below.
