Managing a Posterior Capsular Tear

In this surgical video, Dr. Soosan Jacob performs cataract surgery on a patient with a traumatic subluxated cataract. During phacoemulsification, the posterior capsule ruptures, and vitreous loss occurs at the phaco incision site. Dr. Jacobs advises against using an AC maintainer in this case, as the anterior flow may cause the nuclear pieces to drop into the posterior cavity. Posterior flow, on the other hand, prevents the nuclear pieces from collapsing. She proceeds with a pars plana vitrectomy and finishes with a 3-piece glued IOL, externalizing the haptics before removing the remaining nuclear and cortical pieces.