This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced gap between the iris and the anterior lens capsule. The nucleus now begins to fall into the vitreous cavity. This is no time to continue attempts at phacoemulsification. We need to convert from phaco to a manual extra-capsular cataract extraction (ECCE) technique. This video takes you through this process, step by step. There is virtually a 100% chance that you will need to perform this technique, while under pressure and stress, in your own operating room in the future. The time to learn it is now!
