EyeRounds Photo Quiz #4
Compiled by Justin Risma, MD
Q7: What type of cataract is this?
A7: Posterior polar (central discoid opacity) and posterior subcapsular (surrounding plaque).
Q8: What surgical complication is more common in this type of cataract?
A8: Posterior capsular rupture
Q9: What can be done to avoid this complication?
Hydrodelineate, do not hydrodissect.
Minimize lens rotation and stress on zonules (V-groove, etc.).
Consider viscodissection or wait for YAG capsulotomy.