By Sonu Goel, MD
    Video Journal of Cataract & Refractive Surgery
    Cataract/Anterior Segment

    Dr. Sonu Goel shows how he managed cataract surgery in a patient with a thick, fleshy pterygium covering approximately 90% of the cornea. He begins with a lamellar dissection, hoping to see  a clear cornea after deroofing. Instead, he finds a thick scar and considers aborting  phacoemulsification due to poor visualization. But as he peels away at the scar layers, he  discovers he has just enough visibility to perform phacoemulsification. Using a can-opener technique, he safely completes phacoemulsification.