Chief & Presenting Author: Dr.Gunjan Budhiraja

Abstract

This is a case of a young female of 23 years with complex developmental cataract.
Phacoemulsification with posterior chamber IOL was planned.
The challenging part was making a good capsulorhexis, because the anterior capsule was adherent at multiple areas.
At almost completion of rhexis, here was a runout noted, the left tag was trimmed with vannas scissors and careful hydrodissection was done.
Uneventful phacoemulsification surgery could be performed thereafter.
At one point when there was a runout noted, there were thoughts of whether to proceed directly for phacoemulsification or call a retina colleague for a standby, one most important point being patient was young.
Then, trusted my patience and went ahead with careful slow phacoemulsification and voila it went about very smooth and in the end I could successfully implant a posterior chamber IOL in the bag.
Every case is a new learning, to be patient and to pause and rethink, and always placing priority as patient's safety.