Browse articles from EyeWorld.org related to challenging cases. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.
There are many potential complications cataract surgeons need to prepare for in the OR. One of them is zonulopathy. “Recognizing zonulopathy and adopting strategies to mitigate zonular damage is critically important not only for short-term success but perhaps more importantly, long-term success to reduce the risk of late IOL dislocation,” said D. Brian Kim, MD.
ASCRS began its Grand Rounds in October 2020 as a monthly CME opportunity for members. The Grand Rounds are hosted in partnership with major academic institutions and feature two challenging cases with panel discussions. Watch the full programs online to hear the panel’s thoughts and how the cases were ultimately handled.
Dense white cataracts and mature brunescent cataracts can make surgery particularly challenging, yet the reward comes once patients can see again. EyeWorld spoke with several seasoned surgeons to find out how they manage these types of cataracts.
Two experts share diagnostic pearls to follow and pitfalls to avoid to accurately diagnose this condition.
Missed target, dysphotopsia, malpositioning, patient dissatisfaction: There is a myriad of reasons for an IOL exchange. In these cases, the surgeon needs to give the patient hope for a better outcome while also setting realistic expectations.
Patients with cataract and concomitant iris defects are not seen very often in clinical practice, but when they do come in, they often present significant therapeutic challenges.
Uveitis following cataract surgery increases the risk of cystoid macular edema (CME), posterior synechiae, and secondary glaucoma, all of which may lead to delayed visual recovery or permanent visual loss. It is important to make the distinction between patients with pre-existing uveitis who undergo cataract surgery and those with no history of intraocular inflammation who develop uveitis after surgery.
While topical anesthesia has its use, most surgeons prefer blocks for complex cataract cases.