By Mathew Kurian, MD
    Video Journal of Cataract & Refractive Surgery
    Cataract/Anterior Segment

    Dr. Mathew Kurian shows how he managed 2 cataract cases caused by inadvertent capsule penetration during intravitreal injection, highlighting the importance of careful preoperative planning to detect posterior capsule tears in this patient population. In the first case, even though hydrodelineation was performed and care taken to avoid nuclear rotation, nuclear fragments descend into the vitreous cavity during phacoemulsification. In case 2, lenticular fibers appeared more sticky and leathery than usual, possibly due to the anti-VEGF, leading to a more stable lens during phacoemulsification.