For Retinal Physician's Surgical Pearls video series, Melissa Yuan, MD, demonstrates a surgical posterior capsulectomy. Transcript of the narration follows below:

 

This is Melissa Yuan, retina fellow at Stanford, in conjunction with G. Atma Vemulakonda, MD, a retina specialist at the Palo Alto Medical Foundation and Stanford. This video demonstrates a surgical posterior capsulectomy done at the time of a vitrectomy with membrane peel in a pseudophakic patient with a Vivity intraocular lens (Alcon).

After prepping and draping, we begin by inserting the 3 25-gauge trocars and cannulas in a beveled fashion. The infusion canal is inserted inferotemporally. All tracers are placed 3.5 mm from the limbus.

Anterior vitrectomy is performed. Then, the vitrector is used to cut a circular opening in the posterior capsule of about 4 to 5 mm in diameter. This is achieved by putting the cutter opening directly against the posterior capsule. This surgical capsulectomy improves the intraoperative view during peeling and prevents postoperative posterior capsular opacification.

 

Other Videos From Series