In this presentation from AAO 2016, Susan M. Macdonald, MD, presents her top-5 pearls in managing complicated cataract cases.

• Be prepared, including the team, with a vitrectomy kit.
• Be prepared with early detection, minimizing a major loss.
• Resist the urge to run. Pause, ask for a vioelastic, etc., then relax.
• Improve your visualization of the vitreous.
• Maintain chamber pressure bimanual through a snug wound.

She offers 2 bonus pearls:

• If a vitreous face is broken, cut, do not fix.
• Suture the wound.