By Amar Agarwal, MD
    Annual Meeting 2013
    Comprehensive Ophthalmology

    This is Part 3 of a 9-part series of presentations dealing with the genesis, management, and prevention of unexpected surgeon- or technique-related complications in phacoemulsification in uncomplicated cataracts. The series  demonstrates complications that may be encountered during all steps of phaco (both uncomplicated and difficult cataracts) and offers a stepwise strategy to prevent and manage them. Complications and remedial measures demonstrated include wound burns, wound length anomalies, capsulorrhexis extension and retrieval, two-stage rrhexis, use of microrrhexis forceps / scissors in tricky cases, incomplete / difficult hydrodissection, hurdles in phaco chop, misplaced capsular tension ring, inappropriately used iris hook, how to convert to a safer nonphaco technique in problem situations, and more. Viewers of the series will learn how to avoid and successfully manage certain intraoperative phaco complications that can not only mar the postoperative outcome but can also lead to sight-threatening sequelae.

    Part 1: Hydrodissection Problems
    Part 2: Iris Prolapse
    Part 3: Longest Day Part 4
    Part 4: Case with RESTOR IOLs
    Part 5: Unexpected Occlusion Break Surge
    Part 6: Managing "Double Pseudophakia"
    Part 7: Capsulorhexis Problems: What to Do?
    Part 8: Wound Complication: Burns
    Part 9: The Bail Out: Converting from Phaco to Nonphaco