Cataract Extraction after Previous Vitrector Lens Touch

In this surgical video, Dr. Eugenia White and colleagues perform cataract extraction after touching the vitrector to the posterior capsule during an earlier surgery. The surgeons were concerned after the patient rapidly developed a cataract a few months after pars plana vitrectomy for vitreous hemorrhage from retinal vein occlusion (RVO). After performing a curvilinear capsulorhexis, they removed the nucleus and cortical material and noticed a fibrous plaque and a posterior capsular rent in the same orientation as the vitrector. Using a pars plana approach, they dialed the lens into the bag and removed the posterior capsule and fibrous remnants. The authors recommend being suspicious of posterior capsular openings in eyes with lens touch during pars plana vitrectomy.

Relevant Financial Disclosures: None