Avoiding complications in cataract surgery by recognition of Spider Web sign.

This article discusses the "Spider Web sign," a commonly observed event during cataract surgery that indicates a potential risk of posterior capsule rupture. The sign occurs when the posterior capsule is sucked into a suction device without being broken, resulting in wrinkled folds resembling a spider's web. Surgeons with experience are expected to recognize and avoid this sign to keep the rate of posterior capsule rupture below 2%. Novice surgeons are encouraged to understand why and how the sign occurs and to release the posterior capsule immediately if encountered. The overall rate of posterior capsule tear is reported to be between 0.2% and 16%, but higher rates have been observed in studies with resident surgeons. The authors hope that their description will help residents recognize the Spider Web sign and reduce the rates of posterior capsule tear. [Extracted from the article]

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