title: Approaches to a posterior polar cataract.
abstract: Posterior polar cataracts present special challenges to the cataract surgeon. These are often associated with weakness/dehiscence of the posterior capsule and thus have a higher rate of intraoperative posterior capsule rupture. The surgeon needs to adhere to special surgical strategies to minimize the risk of a posterior capsule rupture. These include, adhering to the principles of closed chamber technique, avoiding hydrodissection - instead performing 'inside-out' hydrodelineation and using modest to low phaco parameters and reducing these stepwise. This article provides important pearls on how to approach a posterior polar cataract.
authors: Iladevi Cataract and IOL Research Centre, Raghudeep Eye Clinic, Gurukul Road, Memnagar, Ahmedabad 380 052, India.
authors: Abhay R
authors: AR
authors: Vasavada
authors: Viraj A
authors: VA
authors: Vasavada
authors: Shetal M
authors: SM
authors: Raj
keywords: Inside-out delineation; Posterior capsule dehiscence; Posterior polar cataract; Surgical strategies
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