During phacoemulsification, posterior capsule rupture (PCR) with vitreous loss occurs. The surgeon should perform all EXCEPT:

• A Continue irrigation/aspiration to remove all cortex before vitrectomy ✓
• B Perform anterior vitrectomy to remove prolapsed vitreous
• C Implant IOL in the ciliary sulcus if sufficient capsular support remains
• D Reduce bottle height and convert to lower-flow settings

Explanation

Following PCR with vitreous loss, continuing irrigation/aspiration without first controlling vitreous is dangerous as it will aspirate more vitreous and extend the rent. The sequence must be: stop aspiration, reduce irrigation, perform anterior vitrectomy to clear prolapsed vitreous, then carefully remove residual cortex under low-flow conditions. IOL can be placed in the ciliary sulcus if adequate anterior capsular support exists. Continuing I&A before managing vitreous is the critical error to avoid.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.