AIM:TO DEMONSTRATE SAFE CATARACT SURGERY TECHNIQUES IN COMPLICATED CATARACTS.METHOD:COMPLICATED CATARACTS LIKE SECLUSIO,OCCLUSIO CATARACTS,SMALL PUPIL,CORNEAL OPACITIES AND TRAUMATIC CATARACTS IS DIFFICULT SITUATION AS FAR AS CATARACT SURGERY IS IMPORTANT.PREEXISTING CORNEAL CONDITIONS LIKE OPACITIES CAN PREDISPOSE PATIENTS TO COMPLICATIONS OR SUBPAR OUTCOMES.ALL PRE-EXISTING CONDITIONS REQUIRE CAREFUL HANDLING DURING CATARACT SURGERY.IN SUCH CASES WE SCRAPE THE EPITHELIUM IF NEEDED FOR BETTER VISUALIZATION.WE USE“SOFT-SHELL”TECHNIQUE,IN WHICH DISPERSIVE OVD STICK TO THE ENDOTHELIUM AND PROVIDE PROTECTION FROM TURBULENT FLOW.KEEP THE BOTTLE HEIGHT LOW,MAKE SURE THE INCISIONS ARE TIGHT AND AVOID EXCESSIVE INSTRUMENTATION TO PREVENT CHAMBER COLLAPSE.WE USE NEUTRALLY ASPHERIC IOL OR MONOFOCAL IOL FOR PATIENTS WITH IMPERFECT CORNEAS BECAUSE OF THE LIGHT SCATTER ASSOCIATED WITH MULTIFOCAL IOL.CONCLUSION:CATARACT SURGERY CAN BE SAFELY PERFORMED IN CORNEAL OPACITIES IF PLANNED APPROPRIATELY.
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