Abstract
Every cataract surgeon encounters unplanned vitreous loss. Eyes respond differently, and surgeons are not automatons. Ideally, we will not lose vitreous the same way twice; a rarely achieved yet lofty goal. It behooves us to have a plan in mind, tools with which to execute the plan at the ready, to be prepared for contingency for every case. The earlier a complication is recognized and the stage of complication limited, the better the result. Rarely do we breach the posterior capsule without rupturing the anterior hyaloid. When limited to this stage, optimal outcomes uniformly result assuming implant stability is achieved. Rupture of the anterior hyaloid membrane with prolapse of vitreous into the anterior segment changes the risk of late complications. Once vitreous is lost through incisions, there is a greater likelihood of retinal tear or detachment; another set of actions is indicated. Depending upon the timing, this may be associated with residual lens remnants.
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The newest phaco machine at the time of this writing the Alcon Centurion employs only FP1 and FP2 in which cutting speed and vacuum magnitude are linear, somewhat different from other phaco machines and will not be discussed further in this chapter.
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Arbisser, L.B. (2017). Pars Plana Anterior Vitrectomy for the Anterior Segment Surgeon. In: Chakrabarti, A. (eds) Posterior Capsular Rent. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3586-6_10
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DOI: https://doi.org/10.1007/978-81-322-3586-6_10
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