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Letter
Unusual case of residual cortical lens matter in anterior chamber
  1. G Prakash,
  2. A Kumar,
  3. A Purohit
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029, India
  1. Correspondence to: Dr Gunjan Prakash 8/12, Residential Hostel, AIIMS, New Delhi – 110029, India, gunjanprakashrediffmail.com

https://doi.org/10.1136/bjo.87.11.1421

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    Modern cataract surgery does not allow for any residual cortical matter in the anterior or posterior chamber, not even in the capsular bag. But for a beginner, a residual cortex in the eye is preferable to a ruptured posterior capsule and its associated complications. Therefore, the surgeon can stop and allow a minor complication (retained cortical material) to prevent posterior capsular rupture.

    Case report

    A 52 year old female patient was operated for posterior subcapsular cataract in her right eye. Her left eye had previously gone into phthisis bulbi 5 years earlier; she underwent a 360° buckling with vitreoretinal surgery in her left eye for traumatic total retinal detachment 6 years earlier.

    The surgery was performed by a resident eye surgeon who was in the learning stage of phacoemulsification. During cortical aspiration, the …

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    Footnotes

    • The authors do not have any proprietary or financial interest in any product. The did not receive any public or private support.