Manual Removal of Primary Posterior Capsular Plaques Using Retinal End-Grasping Forceps

INTRODUCTION Primary posterior capsular plaques can be highly adherent to the posterior capsule leading to possible posterior capsular rupture during attempted removal. Here we describe a novel method for posterior capsular plaque removal using a technique inspired by the experience of retina surgeon in the peeling of membranes from the posterior pole. METHODS Retinal end-grasping forceps were used to peel the plaque from the posterior capsule. RESULTS We have performed this technique on 12 eyes with successful removal of the posterior capsular plaque in all instances without compromise of the posterior capsule in any case. CONCLUSIONS We hope that the anterior segment surgeons will benefit by employing this useful technique during cataract surgeries in the eyes with adherent posterior plaques.