In this presentation from AAO 2016, Alan S. Crandall, MD, presents his top-5 pearls in managing complicated cataract cases:

• Enlarge pupil; use techniques to reduce nuclear movement.
• Bimanual rotation to reduce zonule stress
• Tangential irrigation and aspiration
• Anterior lens epithelial sweep-reduce phimosis
• Capuslar tension rings—any evidence of zonular weakness