By Wan Soo Kim, Kyeong Hwan Kim

This publication offers the foundations and pearls for profitable surgical administration of not easy events encountered in the course of cataract surgical procedure. a variety of settings are thought of, together with cataract surgical procedure in sufferers with uveitis, stressful cataract, dislocation of an intraocular lens, intumescent cataract, brunescent cataract, mixed cataract and corneal disorder, mixed cataract and glaucoma, pediatric cataract, and refractive cataract surgical procedure. furthermore, preoperative components conducive to a good surgical outcome are pointed out and acceptable administration of postoperative problems, defined. As durability raises, cataract is changing into a good higher public wellbeing and fitness factor around the world. using cataract surgical procedure, already essentially the most usually played surgical procedures, is hence expanding nonetheless additional – a pattern strengthened via advancements in instrumentation and expertise and enhancements in entry to surgical procedure. even if, comorbidities and demanding situations in the course of surgical procedure are quite common. demanding situations in Cataract surgical procedure might be a helpful reference for all citizens, fellows, and working towards ophthalmologists who desire to enhance their surgical ideas and outcomes.

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I try not to rotate the lens nucleus and divide the lens in situ by directing the chopper sideways. Not infrequently, the posterior epinucleus is removed during nucleus removal accidentally, lower the bottle height and “slow phaco” should be used just as we do when posterior capsule is ruptured (Fig. 4) [4]. For removal of epinucleus, bimanual I&A or Simcoe I&A are preferred by some surgeons for better control and better removal of the cortex. Again, maintenance of anterior chamber, avoidance of tension to posterior capsule is important until the completion of the surgery.

Foldable IOL allows creation of small incisions that do not produce large amount of post-operative astigmatism. Among foldable IOLs, acrylic IOL is more controllable during implantation, and 45 produces minimal inflammation. Large sized IOL optic provides larger area of optical correction, and is more forgiving to some amount of decentration within the capsular bag. Surface modified lens could have an advantage. Rigid haptic can prevent capsular contraction that can easily occur after pediatric cataract.

3). Posterior capsulorhexis is made to capture the IOL and then prevent development of after cataract. In our study, optic capture technique Fig. 1 Superior bridle suture is made at superior rectus muscle Fig. 2 mm in width Intraoperative Considerations also decrease the development of glaucoma after surgery [8]. After aspiration of the lens cortex, anterior chamber is filled with viscoelastics, capsular bag should not be distended with viscoelastics (Fig. 4). A 26-gauge bent needle make a central puncture by firm pressure on posterior capsule.

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