By Francesco Fasce, MD; Alessandra Spinelli, MD; Paolo Mauceri, MD; Gianluigi Bolognesi, MD
    Video Journal of Cataract and Refractive Surgery
    Cataract/Anterior Segment, Refractive Mgmt/Intervention

    Can the posterior capsule be damaged by an intravitreal device? Ophthalmologists at the University Vita Salute in Milan, Italy, answer this question in this video, which describes how injection of an intravitreal biodegradable drug delivery system with a 22-gauge needle produces a barely visible insert and a suspected posterior capsular tear. After clear corneal incision, capsulorhexis, phacoemulsification, and nucleus removal, the tear is evident over the insert. Anterior vitrectomy drives the delivery system out through the incision. The doctors implant a three-piece IOL in the sulcus, and this time, the insert is highly visible.