We report 2 patients with bilateral, visually significant posterior polar cataracts who had traditional phacoemulsification in 1 eye and femtosecond laser-assisted cataract surgery in the fellow eye. In both cases, the eye that had femtosecond laser-assisted cataract surgery developed a posterior capsule rupture during lens removal; in 1 eye, there were also retained nuclear fragments. Although visual outcome was excellent in both eyes of both patients, it appears that traditional phacoemulsification with extensive hydrodelineation is the preferable treatment method for posterior polar cataracts.
Financial disclosure: Neither author has a financial or proprietary interest in any material or method mentioned.
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