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The nucleus is stabilized with two MST capsular hooks ,slow motion phaco is done. Capsular equator is reinforced by CTR.Nucleus fragment in immediate anterior vitreous beyond the intact posterior capsule with the CTR and IOL in the bag is a difficult situation. Posterior capsule is exposed using an iris hook, stained with trypan blue,and a small primary posterior capsulorehxis is made and the nuclear mass which has inadvertently escaped into the anterior vitreous is coaxed out. This dicey iatrogenic posterior capsular with the CTR IN THE BAG opening saved the situation.
This presentation is from the session "SYM-301: Challenging Cases in Cataract Surgery Video Symposium" from the 2019 ASCRS Annual Meeting held on May 4-7, 2019 in San Diego, California.