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.