Key Points All personnel involved in the handling of intraocular surgical instruments should adhere to established protocols to ensure that the instruments are safely prepared for use. Although many general principles of cleaning and sterilization of surgical instruments apply to…
Introduction The cataract incision serves as more than just the access point to the anterior segment. It affects corneal stability and overall ocular integrity. Wound construction is the critical determinant of this integrity, and two key elements of the wound…
Key Points Cataract surgery is not without complications, which may require intraoperative vitreous management and therefore a fundamental knowledge of vitreous anatomy to achieve the best postsurgical outcomes. Anterior segment surgeons may encounter the need for intraoperative vitrectomy for a…
Key Points Intraoperative complications can occur at any point in cataract surgery. Successful outcomes depend on the following: ■ Careful preoperative evaluation ■ Having strategies in mind to handle intraoperative challenges and complications ■ As the situation demands, flexibility to…
Key Points Juries and judges understand that complications happen, and ophthalmologists often can defend themselves successfully, as long as the risks were disclosed in the informed consent and any intraoperative and postoperative issues were handled correctly. Good communication with patients…
Key Points Eyes at the extremes of axial length pose unique challenges for preoperative planning, surgery, and postoperative management. Management of cataracts in very short eyes can be complicated by difficulties in IOL selection, intraoperative technical challenges, and postoperative issues…
Key Points The globe needs to be pressurized during iris repair and iris prosthesis surgery. Congenital iris coloboma requires effective repair at the time of cataract surgery. Iris diathermy is an excellent tool for pupil shaping and centration. An iris…
Key Points Traumatic cataracts are caused by either blunt or penetrating ocular trauma, causing varying degrees of lenticular opacity. They can be associated with damage to adjacent structures such as the iris, the trabecular meshwork, and the zonular apparatus. The…
Key Points The most common indications for intraocular lens (IOL) removal and exchange include IOL decentration, refractive error, and dysphotopsia. Secondary IOL implantation is often required for patients with a history of aphakia after complex cataract surgery or trauma. New…
Key Points Pediatric cataract is an important cause of treatable blindness in children. In addition to the cataract, several comorbidities can be present in a child’s eye, and these can impact visual prognosis and require adjustments in the surgical technique…