Chief & Presenting Author: Dr.Prasanna Venkatesh Ramesh

Co Author(s): Dr. Pavithra Pannerselvam, Dr.Tejaswi Ragolu, Dr.Shruthy Vaishali Ramesh

Abstract

A 72-year-old male with pseudoexfoliation and a bulky nucleus underwent cataract surgery. This surgical video provides a comprehensive overview of an advanced cognitive planning strategy tailored to address complex scenarios in cataract surgery, specifically those involving a bulky nucleus and zonular laxity.

The three-step protocol employed in the video combines the precision of the Mackool capsular hook for stabilizing the capsular bag, the symmetric effect of a standard capsular tension ring to counteract zonular laxity, and the robust structural support provided by a standard capsular tension segment. A sclerotomy was performed, followed by a misdirected needle entry that inadvertently touched the posterior capsule and was effectively managed.

By offering practical insights, this concise guide empowers surgeons to navigate intricacies and achieve optimal outcomes in challenging surgical scenarios, enhancing their ability to handle intricate cataract surgeries with confidence.