A Dog's Day

There are days when, by an unfortunate coincidence, surgeries with a high risk of complications are scheduled on the same day. This story tells the tale of one of these days: two monocular patients, a subluxed lens, and capsulorhexis tear and damaged lens. The first case was a patient with a white cataract who had lost the other eye in a previous cataract surgery. The second case was another monocular, high hyperoptic, glaucomatous eye with a small pupil. The third case included a post-trauma subluxation of the lens. The final case seemed routine until the capsulorhexis tears and it is discovered that the the lens haptic is torn. [Video Journal of Cataract and Refractive Surgery (VJCRS Volume XVII Issue 1) 2001]

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Comments (3)

this is a everyday story for me here in mumbai india since last 15 years. you have to be focused all the time and be passionate in your work god bless. dr vijay bhatt mumbai India

vijay (18 months ago)

quite surprised that he placed a ctr for a tear in anterior capsule. why would that tear suggest zonular weakness? i simply place the iol in the bag with the haptics 90 degrees away from the tear. maybe those prior tough cases made the surgeon "ctr-happy"! i once got sloppy during i/a after a very tough nuclear removal--i let my guard down. i never made that mistake again!

ranchump62 (18 months ago)

Very important video! May all surgeons keep in mind the complexity of the cataract surgery and avoid the impulse to "sell it" to patients as an "easy procedure". There is no easy procedure. The most one can get is dedicated and high quality professionals doing the best to focus and apply all the skills in that exact moment of each hand move. Thanks for charing! Rogério Moreira, MD - Portugal

Rogério (18 months ago)