Up Next

I had a case were all your scare comes true. A perfect round endotelial capsulorrexis, but I was not lucky enought to found the endotelium at the end of the case. Good illustration of what can really hapen¡¡

Reply

still don't understand how the anterior capsule was left in the eye after the rhexis. doesn't everybody pull it out?

Reply

ranchump and Mehdi Ghajar you are both correct. Following capsulorhexis I will make an effort to remove the capsule but failed in this case. If the capsule is slippery I won't spend time going after it because it almost always comes out during phaco. Clearly, in this surgery, the entire anterior capsule remained in the eye, intact and found its way to the posterior cornea.

Reply

Dr. Lewis you need to explain to the viewer in the video that you are pulling out the anterior capsule not Descemet's or a previously grafted (DSAEK) eye. It is a bit confusing unless you read the comments.

Reply

If the capsule can protect the endotelium it could be a breaktrough in cataract surgery!

Reply

I think you had wait before remove the capsule out of the eye, because if it was endothelium you could place it like a DSAEK with a bubble air into the anterior chamber

Reply

wait a sec- how did the anterior capsule stay in the eye after the rhexis? don't you pull it out when the rhexis is completed?

Reply

It looked just like a perfect endothelial disaster. but as you said, too perfect. It was the anterior capsule masquerading as an endothelial defect. I pulled out the anterior capsule, the endo was intact and the patient signed up for his other eye.

Reply