September 2019


Tackling challenging cataract cases

by Rosa Braga-Mele, MD Cataract Editor

Uncomplicated cataract surgery can be stressful enough given all the new technology and patient expectations. Then throw in a challenging case scenario, and the level of focus and concentration is amplified. In this month’s In Focus series, knowledgeable ophthalmologists share their viewpoints on how to deal with a range of challenging cases, such as monocular patients, iris issues, zonular issues, mature and white cataracts, and IOLs that don’t always behave the way we’d like them to.
This issue is close to my heart quite literally; my coronary arteries get many chances to spasm as the majority of my practice is dealing with complicated and challenging cases. This includes teaching residents how to surgically maneuver these difficult cases. I welcome these challenges because I think it is important to be able to offer our patients with these situations a fair chance at the best possible visual outcomes, and it is vital to teach new, young ophthalmic surgeons good practices in dealing with these case scenarios.
The articles in this month’s In Focus series do just that. I have learned a lot from my colleagues on how to best avoid, approach, or deal with a complication should it arise in some of these cases. Challenging cases can be some of the most rewarding ones we do, as many times vision is indeed compromised and good outcomes are truly possible in these patients.
Even with best practices, the eye is humbling and has brought me to my knees. But the key is to have an armamentarium of tips and tricks to rely on to obtain the best possible outcomes for our patients. I hope you get as much from this issue as I have.

Tackling challenging cataract cases Tackling challenging cataract cases
Ophthalmology News - EyeWorld Magazine
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