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    Posterior Capsular Prolapse

    By Chris Rudnisky, MD
    Video Journal of Cataract and Refractive Surgery
    Cataract/Anterior Segment

    In this video from Dr. Osher's Video Journal of Cataract and Refractive Surgery, Dr. Chris Rudnisky presents a case of prolapsed capsular bag during cataract surgery, a rare complication. During irrigation and aspiration, the I/A tip easily picks up the posterior capsule, indicating zonular weakness. When the surgeon irrigates the final strands of cortex through the wound, the posterior capsule is drawn with them. The surgeon attempts to replace the capsule, but then chooses to avoid further damage and remove the tip. The posterior capsule reposits itself spontaneously and the case is successfully completed.