Big Cystitome
Here we show a rare complication where the keratome goes in too far and too posterior and cuts the anterior capsule. Usually when this occurs you can simply extend and use this as the starting point for the capsulorhexis. If the inadvertant cut goes radail then you have to treat as any other radial tear and consider sculpting out a bowl and holding on hydrodissection. Very careful phaco with a radial tear with careful rotation and minimal pressure on the capsule is also indicated. In this case all went well. If the lens is very hard and the capsule goes radial we will usually convert to an extra capsular cataract extraction (ECCE).
Additional Notes: length: 2:30
(Please see http://cataractsurgeryforgreenhorns.blogspot.com or tutorial section of EyeRounds.org )
