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Dense Capsular Plaque

Dense capsular plaques sometimes are large and sometimes small. Sometimes you can tear a rhexis around them, other times not. The do not tear but will cause your capsulorhexis to extend. While not extremely common most cataract surgeons will eventually have to face them. Chapters: 00:00 - Intro 00:33 - Beginning 00:43 - Ponderings on the approach 03:42 - Summary of capsulotomy attempts 04:15 - Actual capsulotomy attempts 05:28 - Capsulotomy achieved 05:53 - Conversation about rhexis instrumentation 06:58 - Scissor based rhexis beginning 09:12 - Dissecting under plaque inside lens 09:49 - Removal of plaque 10:09 - Actual rhexis diameter compared with cut diameter 10:59 - A fascinating view of a persistent hyaloid artery (I reference Alcon and MST in this video, but I have no conflicts of interest to report. They had no input in the making of this video.)