Chief & Presenting Author: Dr.Satya Hareesh Reddy Lingala

Co Author(s): Dr.Vivekanand U.

Abstract

Tips to decrease PCR and vitreous loss in posterior polar cataract
​
1. Appropriate sized capsulorhexis – Ideal diameter – 5mm, large opening – difficulty in sulcus placement of IOL during tears.
2. Avoid hydrodissection
3. Perform hydrodelineation to separate the nucleus from the epinucleus, yielding a characteristic golden ring
4. Do not rotate the nucleus
5. Inject an OVD through a sideport incision before the phaco or I/A tip is withdrawn to avoid major fluctuations in anterior chamber pressure.
6. Manage the epinucleus and cortex- Before the central area of attached plaque is removed, 360º of epinucleus is stripped from the capsular fornices.
7. Bimanual irrigation and aspiration are used to remove residual cortex.
8. A foldable IOL in bag if no PCR/ after after a posterior capsular rent was converted into a posterior capsulorhexis.
9. Optic capture of a three-piece IOL is performed to stabilize the lens in an eye with a large tear in the posterior capsule.