We present Flap motility as a sign of posterior capsule rupture (PCR) in peripherally extended anterior capsular tears. Everted and fluttering flaps indicate pre equatorial extent of tears and phacoemulsification(PE) can be safely continued. If flap stops fluttering & becomes inverted, it indicates end point of safe PE and posterior extension of flap beyond equator. Instant decision to convert to extra-capsular cataract surgery helps decrease the incidence of PCR.
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This film was submitted to the 36th Annual ASCRS Film Festival within the 2018 ASCRS ASOA Annual Meeting.