In this presentation from AAO 2021, Drs. Chang and Oetting share video cases that illustrate a spectrum of techniques. Topics include the following:

• capsular dye
• torn continuous curvilinear capsulorrhexis (CCC)
• secondary CCC enlargement
• Little tear-out rescue technique
• CCC optic capture
• reverse optic capture
• posterior CCC
• early recognition of posterior chamber rupture
• conversion from topical/clear corneal incision to manual extracapsular cataract extraction (ECCE)
• posterior polar cataracts
• capsular tension rings and capsule retractors for zonulopathy
• small pupil/intraoperative floppy iris syndrome strategies (hooks and pupil expansion rings, mydriatics)
• pars plana bimanual anterior vitrectomy (with or without triamcinolone)
• viscoelastic posterior-assisted levitation (PAL) plus viscoelastic trap for descending nuclei
• intraocular lens (IOL) fixation with torn anterior or posterior capsule or zonular dialysis