In this presentation from AAO 2016, Robert Osher, MD, presents his top-5 pearls in managing complicated cataract cases.

• Good visualization
• The importance of blotting
• Adequate rectus side
• Don't be afraid to refill to expand bag fully, refilling with OVD in front and behind the nucleus.
• Be patient. 

As an added pearl, the danger of using trypan blue when putting pressure on the anterior capsule was discussed.