Skip to main content
SpringerLink
Log in

Managing Complications During Cataract Surgery

  • Chapter
  • First Online:
Cataract Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

  • 568 Accesses

Abstract

This chapter will review the key principles in managing a variety of complications encountered during cataract surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Osher RH. Video Journal of Cataract, Refractive, & Glaucoma Surgery. https://vjcrgs.com/.

  2. Patel BCK, Burns TA, Crandall A, et al. A comparison of topical and retrobulbar anesthesia for cataract surgery. Ophthalmology. Published online 1996. https://doi.org/10.1016/S0161-6420(96)30522-8.

  3. Jacobi PC, Dietlein TS, Jacobi FK. Comparative study of topical vs retrobulbar anesthesia in complicated cataract surgery. Arch Ophthalmol. Published online 2000. https://doi.org/10.1001/archopht.118.8.1037.

  4. Seo H, Nam DH, Lee JY, et al. Macular photostress and visual experience between microscope and intracameral illumination during cataract surgery. J Cataract Refract Surg. Published online 2018. https://doi.org/10.1016/j.jcrs.2017.11.016.

  5. Weiss JL, Deichman CB. A Comparison of retrobulbar and periocular anesthesia for cataract surgery. Arch Ophthalmol. Published online 1989. https://doi.org/10.1001/archopht.1989.01070010098035.

  6. Avakian A, Osher RH. Rescue technique for salvaging toric intraocular lens alignment. J Cataract Refract Surg. Published online 2012. https://doi.org/10.1016/j.jcrs.2012.08.019.

  7. Cionni RJ, Osher RH. Retrobulbar hemorrhage. Ophthalmology. Published online 1991. https://doi.org/10.1016/S0161-6420(91)32158-4.

  8. Winterton J V., Patel K, Mizen KD. Review of management options for a retrobulbar hemorrhage. J Oral Maxillofac Surg. Published online 2007. https://doi.org/10.1016/j.joms.2005.11.089.

  9. Pandey SK, Werner L, Apple DJ, Agarwal A, Agarwal A, Agarwal S. No-anesthesia clear corneal phacoemulsification versus topical and topical plus intracameral anesthesia: Randomized clinical trial. J Cataract Refract Surg. Published online 2001. https://doi.org/10.1016/S0886-3350(01)00793-3.

  10. Osher RH. Shark fin: A new sign of thermal injury. J Cataract Refract Surg. Published online 2005. https://doi.org/10.1016/j.jcrs.2004.11.034.

  11. Fine IH. Architecture and construction of a self-sealing incision for cataract surgery. J Cataract Refract Surg. Published online 1991. https://doi.org/10.1016/S0886-3350(13)80682-7.

  12. Fine IH, Hoffman RS, Packer M. Profile of clear corneal cataract incisions demonstrated by ocular coherence tomography. J Cataract Refract Surg. Published online 2007. https://doi.org/10.1016/j.jcrs.2006.09.016.

  13. Langerman DW. Architectural design of a self-sealing corneal tunnel, single-hinge incision. J Cataract Refract Surg. Published online 1994. https://doi.org/10.1016/S0886-3350(13)80052-1.

  14. Osher RH. Internal flare: Modification of wound construction for microincisional cataract surgery. J Cataract Refract Surg. Published online 2012. https://doi.org/10.1016/j.jcrs.2012.01.011.

  15. Hovanesian JA, Karageozian VH. Watertight cataract incision closure using fibrin tissue adhesive. J Cataract Refract Surg. Published online 2007. https://doi.org/10.1016/j.jcrs.2007.03.060.

  16. Masket S, Hovanesian JA, Levenson J, et al. Hydrogel sealant versus sutures to prevent fluid egress after cataract surgery. J Cataract Refract Surg. Published online 2014. https://doi.org/10.1016/j.jcrs.2014.03.034.

  17. Zaczek A, Zetterström C. Cataract surgery and pupil size in patients with diabetes mellitus. Acta Ophthalmol Scand. Published online 1997. https://doi.org/10.1111/j.1600-0420.1997.tb00407.x.

  18. Hayashi K, Hayashi H. Pupil size before and after phacoemulsification in nondiabetic and diabetic patients. J Cataract Refract Surg. Published online 2004. https://doi.org/10.1016/j.jcrs.2004.04.045.

  19. Akman A, Yilmaz G, Oto S, Akova YA. Comparison of various pupil dilatation methods for phacoemulsification in eyes with a small pupil secondary to pseudoexfoliation. Ophthalmology. Published online 2004. https://doi.org/10.1016/j.ophtha.2004.02.008.

  20. Winn B, Whitaker D, Elliott DB, Phillips NJ. Factors affecting light-adapted pupil size in normal human subjects. Investig Ophthalmol Vis Sci. Published online 1994.

    Google Scholar 

  21. Chang DF, Campbell JR. Intraoperative floppy iris syndrome associated with tamsulosin. J Cataract Refract Surg. Published online 2005. https://doi.org/10.1016/j.jcrs.2005.02.027.

  22. Abdel-Latif AA. Release and effects of prostaglandins in ocular tissues. Prostaglandins. Leukot Essent Fat Acids. Published online 1991. https://doi.org/10.1016/0952-3278(91)90186-9.

  23. Jhanji V, Sharma N, Vajpayee RB. Management of intraoperative miosis during pediatric cataract surgery using healon 5. Middle East Afr J Ophthalmol. Published online 2011. https://doi.org/10.4103/0974-9233.75888.

  24. Osher RH. Healon 5 in IFIS. Video J Cataract Refract Surg. 2005;21(2). https://www.aao.org/clinical-video/achieving-viscomydriasis-with-healon5.

  25. Osher RH, Ahmed IIK, Demopulos GA. OMS302 (phenylephrine and ketorolac injection) 1%/0.3% to maintain intraoperative pupil size and to prevent postoperative ocular pain in cataract surgery with intraocular lens replacement. Expert Rev Ophthalmol. Published online 2015. https://doi.org/10.1586/17469899.2015.1026806.

  26. Donnenfeld ED, Whitaker JS, Jackson MA, Wittpenn J. Intracameral ketorolac and phenylephrine effect on intraoperative pupil diameter and postoperative pain in cataract surgery. J Cataract Refract Surg. 2017. https://doi.org/10.1016/j.jcrs.2017.02.030.

  27. Gurbaxani A, Packard R. Intracameral phenylephrine to prevent floppy iris syndrome during cataract surgery in patients on tamsulosin. Eye. Published online 2007. https://doi.org/10.1038/sj.eye.6702172.

  28. Malyugin B. Small pupil phaco surgery: a new technique. Ann Ophthalmol. Published online 2007. https://doi.org/10.1007/s12009-007-0023-8.

  29. Chang DF. Use of Malyugin pupil expansion device for intraoperative floppy-iris syndrome: Results in 30 consecutive cases. J Cataract Refract Surg. Published online 2008. https://doi.org/10.1016/j.jcrs.2008.01.026.

  30. Malyugin B. The Malyugin ring in FLACS. The Ophthalmologist. Published 2015. Accessed 10 Aug, 2020. https://theophthalmologist.com/subspecialties/the-malyugin-ring-in-flacs.

  31. Hoover DL, Giangiacomo J, Benson RL. Descemet’s membrane detachment by sodium hyaluronate. Arch Ophthalmol. Published online 1985. https://doi.org/10.1001/archopht.1985.01050060065027.

  32. Osher RH. Iris damage by inadvertent cannula injection. J Cataract Refract Surg. Published online 2007. https://doi.org/10.1016/j.jcrs.2006.08.063.

  33. Andres Benatti C, Tsao JZ, Afshari NA. Descemet membrane detachment during cataract surgery: etiology and management. Curr Opin Ophthalmol. Published online 2017. https://doi.org/10.1097/ICU.0000000000000332.

  34. Samarawickrama C, Beltz J, Chan E. Spontaneously resolving descemet’s membrane detachment caused by an ophthalmic viscosurgical device during cataract surgery. Saudi J Ophthalmol. Published online 2015. https://doi.org/10.1016/j.sjopt.2015.07.003.

  35. Osher RH, Cionni RJ, Burk SE, Chang DF. Cataract Surgery. In: Cataract Surgery. 3rd ed. Elsevier; 2010.

    Google Scholar 

  36. Marcon AS, Rapuano CJ, Jones MR, Laibson PR, Cohen EJ. Descemet’s membrane detachment after cataract surgery: management and outcome. Ophthalmology. Published online 2002. https://doi.org/10.1016/S0161-6420(02)01288-5.

  37. Assia EI, Levkovich-Verbin H, Blumenthal M. Management of Descemet’s membrane detachment. J Cataract Refract Surg. Published online 1995. https://doi.org/10.1016/S0886-3350(13)80573-1.

  38. Mackool RJ, Nicolich S, Mackool R. Effect of viscodissection on posterior capsule rupture during phacoemulsification. J Cataract Refract Surg. Published online 2007. https://doi.org/10.1016/j.jcrs.2006.08.066.

  39. Vasavada V, Vasavada VA, Werner L, Mamalis N, Vasavada AR, Crandall AS. Corticocapsular cleavage during phacoemulsification: Viscodissection versus hydrodissection Miyake-Apple view analysis. J Cataract Refract Surg. Published online 2008. https://doi.org/10.1016/j.jcrs.2008.03.026.

  40. Miyake K, Ota I, Ichihashi S, Miyake S, Tanaka Y, Terasaki H. New classification of capsular block syndrome. J Cataract Refract Surg. Published online 1998. https://doi.org/10.1016/S0886-3350(98)80017-5.

  41. Osher RH, Yu BCY, Koch DD. Posterior polar cataracts: A predisposition to intraoperative posterior capsular rupture. J Cataract Refract Surg. Published online 1990. https://doi.org/10.1016/S0886-3350(13)80724-9.

  42. Siatiri H, Moghimi S. Posterior polar cataract: Minimizing risk of posterior capsule rupture. Eye. Published online 2006. https://doi.org/10.1038/sj.eye.6702023.

  43. Allen D, Wooda C. Minimizing risk to the capsule during surgery for posterior polar cataract. J Cataract Refract Surg. Published online 2002. https://doi.org/10.1016/S0886-3350(02)01244-0.

  44. Fine IH, Packer M, Hoffman RS. Management of posterior polar cataract. J Cataract Refract Surg. Published online 2003. https://doi.org/10.1016/S0886-3350(02)01616-4.

  45. Vasavada AR, Raj SM, Vasavada V, Shrivastav S. Surgical approaches to posterior polar cataract: a review. Eye. Published online 2012. https://doi.org/10.1038/eye.2012.33.

  46. Marques FF, Marques DMV, Osher RH, Osher JM. Fate of anterior capsule tears during cataract surgery. J Cataract Refract Surg. Published online 2006. https://doi.org/10.1016/j.jcrs.2006.05.013.

  47. Schneider S, Osher RH, Burk SE, Lutz TB, Montione R. Thinning of the anterior capsule associated with congenital aniridia. J Cataract Refract Surg. Published online 2003. https://doi.org/10.1016/S0886-3350(02)01602-4.

  48. Little BC, Smith JH, Packer M. Little capsulorhexis tear-out rescue. J Cataract Refract Surg. Published online 2006. https://doi.org/10.1016/j.jcrs.2006.03.038.

  49. Osher RH. Slow Motion Phacoemulsification Approach. J Cataract Refract Surg. Published online 1993. https://doi.org/10.1016/S0886-3350(13)80025-9.

  50. Melles GRJ, De Waard PWT, Pameyer JH, Beekhuis WH, Van Vroonhoven CCJ. Trypan blue capsule staining to visualize the capsulorhexis in cataract surgery. J Cataract Refract Surg. Published online 1999. https://doi.org/10.1016/S0886-3350(99)80004-2.

  51. Figueiredo CG, Figueiredo J, Figueiredo GB. Brazilian technique for prevention of the Argentinean flag sign in white cataract. J Cataract Refract Surg. Published online 2012. https://doi.org/10.1016/j.jcrs.2012.07.002.

  52. Allan BDS. Mechanism of iris prolapse: A qualitative analysis and implications for surgical technique. J Cataract Refract Surg. Published online 1995. https://doi.org/10.1016/S0886-3350(13)80507-X.

  53. Tint NL, Dhillon AS, Alexander P. Management of intraoperative iris prolapse: Stepwise practical approach. J Cataract Refract Surg. Published online 2012. https://doi.org/10.1016/j.jcrs.2012.08.013.

  54. Osher RH. Association between IFIS and Flomax. J Cataract Refract Surg. Published online 2006. https://doi.org/10.1016/j.jcrs.2006.01.008.

  55. Shugar JK. Use of epinephrine for IFIS prophylaxis. J Cataract Refract Surg. Published online 2006. https://doi.org/10.1016/j.jcrs.2006.01.110.

  56. Masket S, Belani S. Combined preoperative topical atropine sulfate 1% and intracameral nonpreserved epinephrine hydrochloride 1:2500 for management of intraoperative floppy-iris syndrome. J Cataract Refract Surg. Published online 2007. https://doi.org/10.1016/j.jcrs.2006.10.059.

  57. Shugar JK. Prophylaxis for IFIS. J Cataract Refract Surg. Published online 2007. https://doi.org/10.1016/j.jcrs.2007.02.011.

  58. Sippel KC, Pineda R. Phacoemulsification and thermal wound injury. Semin Ophthalmol. Published online 2002. https://doi.org/10.1076/soph.17.3.102.14776.

  59. Ernest P, Rhem M, McDermott M, Lavery K, Sensoli A. Phacoemulsification conditions resulting in thermal wound injury. J Cataract Refract Surg. Published online 2001. https://doi.org/10.1016/S0886-3350(01)00908-7.

  60. Osher RH, Injev VP. Thermal study of bare tips with various system parameters and incision sizes. J Cataract Refract Surg. Published online 2006. https://doi.org/10.1016/j.jcrs.2005.06.054.

  61. Sugar A, Schertzer RM. Clinical course of phacoemulsification wound burns. J Cataract Refract Surg. Published online 1999. https://doi.org/10.1016/S0886-3350(99)00021-8.

  62. Scleral and corneal burns during phacoemulsification with viscoelastic materials. Health Devices. Published online 1988.

    Google Scholar 

  63. Haldar K, Saraff R. Closure technique for leaking wound resulting from thermal injury during phacoemulsification. J Cataract Refract Surg. Published online 2014. https://doi.org/10.1016/j.jcrs.2014.07.016.

  64. Osher, Robert H., Osher JM. Wound gape: two closure techniques. Cataract Refract Surg Today. Published online June 2011:73–4. https://crstoday.com/wp-content/themes/crst/assets/downloads/crst0611_feature_osher.pdf.

  65. Khodabakhsh AJ, Zaidman G, Tabin G. Corneal surgery for severe phacoemulsification burns. Ophthalmology. Published online 2004. https://doi.org/10.1016/j.ophtha.2003.06.004.

  66. Bohigian GM, Wexler SA. Complications of retained nuclear fragments in the anterior chamber after phacoemulsification with posterior chamber lens implant. Am J Ophthalmol. Published online 1997. https://doi.org/10.1016/S0002-9394(14)70181-3.

  67. Hui JI, Fishler J, Karp CL, Shuler MF, Gedde SJ. Retained Nuclear Fragments in the Anterior Chamber after Phacoemulsification with an Intact Posterior Capsule. Ophthalmology. Published online 2006. https://doi.org/10.1016/j.ophtha.2006.03.066.

  68. Zavodni ZJ, Meyer JJ, Kim T. Clinical Features and Outcomes of Retained Lens Fragments in the Anterior Chamber after Phacoemulsification. Am J Ophthalmol. Published online 2015. https://doi.org/10.1016/j.ajo.2015.08.019.

  69. Mokhtarzadeh A, Kaufman SC, Koozekanani DD, Meduri A. Delayed presentation of retained nuclear fragment following phacoemulsification cataract extraction. J Cataract Refract Surg. Published online 2014. https://doi.org/10.1016/j.jcrs.2014.02.013.

  70. Oliveira C, Liebmann JM, Dodick JM, Topilow H, Cykiert R, Ritch R. Identification of retained nucleus fragment in the posterior chamber using ultrasound biomicroscopy. Am J Ophthalmol. Published online 2006. https://doi.org/10.1016/j.ajo.2005.12.013.

  71. Osher RH, Cionni RJ. The torn posterior capsule: Its intraoperative behavior, surgical management, and long-term consequences. J Cataract Refract Surg. Published online 1990. https://doi.org/10.1016/S0886-3350(13)80805-X.

  72. Gimbel H V., Sun R, Ferensowicz M, Anderson Penno E, Kamal A. Intraoperative management of posterior capsule tears in phacoemulsification and intraocular lens implantation. Ophthalmology. Published online 2001. https://doi.org/10.1016/S0161-6420(01)00716-3.

  73. Chang DF, Packard RB. Posterior assisted levitation for nucleus retrieval using Viscoat after posterior capsule rupture. J Cataract Refract Surg. Published online 2003. https://doi.org/10.1016/S0886-3350(03)00216-5.

  74. Akura J, Hatta S, Kaneda S, Ishihara M, Matsuura K, Tamai A. Management of posterior capsule rupture during phacoemulsification using the dry technique. J Cataract Refract Surg. Published online 2001. https://doi.org/10.1016/S0886-3350(00)00838-5.

  75. Castaneda VE, Legler UFC, Tsai JC, et al. Posterior Continuous Curvilinear Capsulorhexis: An Experimental Study with Clinical Applications. Ophthalmology. Published online 1992. https://doi.org/10.1016/S0161-6420(92)32014-7.

  76. Eller AW, Barad RF. Miyake analysis of anterior vitrectomy techniques. J Cataract Refract Surg. Published online 1996. https://doi.org/10.1016/S0886-3350(96)80221-5.

  77. Burk SE, Da Mata AP, Snyder ME, Schneider S, Osher RH, Cionni RJ. Visualizing vitreous using Kenalog suspension. J Cataract Refract Surg. Published online 2003. https://doi.org/10.1016/S0886-3350(03)00016-6.

  78. Jones JJ, Oetting TA, Rogers GM, Jin GJC. Reverse optic capture of the single-piece acrylic intraocular lens in eyes with posterior capsule rupture. Ophthalmic Surg Lasers Imaging. Published online 2012. https://doi.org/10.3928/15428877-20120830-02.

  79. Gimbel H V., DeBroff BM. Intraocular lens optic capture. J Cataract Refract Surg. Published online 2004. https://doi.org/10.1016/j.jcrs.2003.11.035

  80. Menezo JL, Martinez MC, Cisneros AL. Iris-fixated Worst claw versus sulcus-fixated posterior chamber lenses in the absence of capsular support. J Cataract Refract Surg. Published online 1996. https://doi.org/10.1016/S0886-3350(96)80151-9.

  81. Güell JL, Barrera A, Manero F. A review of suturing techniques for posterior chamber lenses. Curr Opin Ophthalmol. Published online 2004. https://doi.org/10.1097/00055735-200402000-00009.

  82. Michaeli A, Assia EI. Scleral and iris fixation of posterior chamber lenses in the absence of capsular support. Curr Opin Ophthalmol. Published online 2005. https://doi.org/10.1097/00055735-200502000-00010.

  83. Kumar DA, Agarwal A. Glued intraocular lens: A major review on surgical technique and results. Curr Opin Ophthalmol. Published online 2013. https://doi.org/10.1097/ICU.0b013e32835a939f.

  84. Kumar DA, Agarwal A, Agarwal A, Prakash G, Jacob S. Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome. Saudi J Ophthalmol. Published online 2011. https://doi.org/10.1016/j.sjopt.2011.04.001.

  85. Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged Intrascleral intraocular lens fixation with double-needle technique. Ophthalmology. 2017. https://doi.org/10.1016/j.ophtha.2017.03.036.

  86. Canabrava S, Canedo Domingos Lima AC, Arancibia AEL, Bicalho Dornelas LF, Ribeiro G. Novel double-flanged technique for managing Marfan syndrome and microspherophakia. J Cataract Refract Surg. Published online 2020. https://doi.org/10.1097/j.jcrs.0000000000000116.

  87. Hong AR, Sheybani A, Huang AJW. Intraoperative management of posterior capsular rupture. Curr Opin Ophthalmol. Published online 2015. https://doi.org/10.1097/ICU.0000000000000113.

  88. Wu MC, Bhandari A. Managing the broken capsule. Curr Opin Ophthalmol. Published online 2008. https://doi.org/10.1097/ICU.0b013e3282f2a9d5.

  89. Nakaguma S, Matsumoto K, Hirata A, Inada K, Negi A. Bacterial endophthalmitis following cataract surgery. Japanese J Clin Ophthalmol. Published online 2003. https://doi.org/10.1007/978-3-540-68119-9_8.

  90. Hurvitz LM. Posterior capsular rupture at hydrodissection. J Cataract Refract Surg. Published online 1991. https://doi.org/10.1016/S0886-3350(13)80433-6.

  91. Yeoh R. The “pupil snap” sign of posterior capsule rupture with hydrodissection in phacoemulsification [2]. Br J Ophthalmol. Published online 1996. https://doi.org/10.1136/bjo.80.5.486-a.

  92. Osher RH., Osher JM. The mature cataract and its sharp edges: fact or fiction. 1997. https://vjcrgs.com/volume31-issue2/the-mature-cataract-and-its-sharp-edges-fact-or-fiction-1997.

  93. Kelman C. PAL Technique. Video J Cataract Refract Surg. 1996.

    Google Scholar 

  94. Kumar DA, Agarwal A, Prakash G, Jacob S, Agarwal A, Sivagnanam S. IOL scaffold technique for posterior capsule rupture. J Refract Surg. Published online 2012. https://doi.org/10.3928/1081597X-20120413-01.

  95. Marques DMV, Marques FF, Osher RH. Subtle signs of zonular damage. J Cataract Refract Surg. Published online 2004. https://doi.org/10.1016/j.jcrs.2003.09.071.

  96. Munshi V, Sampat V, Pagliarini S. Zonular dialysis and vitreous loss with a J-shaped hydrodissection cannula during phacoemulsification. J Cataract Refract Surg. Published online 2005. https://doi.org/10.1016/j.jcrs.2004.06.043.

  97. Cionni RJ, Osher RH. Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg. Published online 1998. https://doi.org/10.1016/S0886-3350(98)80218-6.

  98. Weber CH, Cionni RJ. All about capsular tension rings. Curr Opin Ophthalmol. Published online 2015. https://doi.org/10.1097/ICU.0000000000000118.

  99. Menapace R, Findl O, Georgopoulos M, Rainer G, Vass C, Schmetterer K. The capsular tension ring: Designs, applications, and techniques. J Cataract Refract Surg. Published online 2000. https://doi.org/10.1016/S0886-3350(00)00446-6.

  100. Hasanee K, Butler M, Ahmed IIK. Capsular tension rings and related devices: current concepts. Curr Opin Ophthalmol. Published online 2006. https://doi.org/10.1097/01.icu.0000193069.32369.e1.

  101. Osher RH. Causes and management of intraoperative shallowing of the anterior chamber. Am Intra-Ocular Implant Soc J. Published online 1984. https://doi.org/10.1016/S0146-2776(84)80025-7.

  102. Khng C, Osher RH. Surgical options in the face of positive pressure. J Cataract Refract Surg. Published online 2006. https://doi.org/10.1016/j.jcrs.2006.06.011.

  103. Wu W, Dawson DG, Sugar A, et al. Cataract surgery in patients with nanophthalmos: Results and complications. J Cataract Refract Surg. Published online 2004. https://doi.org/10.1016/j.jcrs.2003.07.009.

  104. Bellucci R. Vitreous hydration: often a hidden complication of cataract surgery. Cataract Refract Surg Today. Published 2006. http://crstoday.com/wp-content/themes/crst/assets/downloads/CRST0806_01.pdf.

  105. Speaker MG, Guerriero PN, Met JA, Coad CT, Berger A, Marmor M. A Case-control study of risk factors for intraoperative suprachoroidal expulseve hemorrhage. Ophthalmology. Published online 1991. https://doi.org/10.1016/S0161-6420(91)32316-9.

  106. Ling R, Cole M, James C, Kamalarajah S, Foot B, Shaw S. Suprachoroidal haemorrhage complicating cataract surgery in the UK: Epidemiology, clinical features, management, and outcomes. Br J Ophthalmol. Published online 2004. https://doi.org/10.1136/bjo.2003.026138.

  107. Zauberman H. Extreme deepening of the anterior chamber during phacoemulsification. Ophthalmic Surg. Published online 1992. https://doi.org/10.3928/1542-8877-19920801-12.

  108. Wilbrandt HR, Wilbrandt TH. Pathogenesis and management of the lens-iris diaphragm retropulsion syndrome during phacoemulsification. J Cataract Refract Surg. Published online 1994. https://doi.org/10.1016/S0886-3350(13)80043-0.

  109. Cionni RJ, Barros MG, Osher RH. Management of lens-iris diaphragm retropulsion syndrome during phacoemulsification. J Cataract Refract Surg. Published online 2004. https://doi.org/10.1016/j.jcrs.2004.01.030.

  110. Osher RH, Osher JM, Cionni RJ. Multifocal iris sphincter ruptures: New sign of the lens-iris diaphragm retropulsion syndrome. J Cataract Refract Surg. Published online 2010. https://doi.org/10.1016/j.jcrs.2009.06.045.

  111. Rumelt S, Kassif Y, Koropov M, et al. The spectrum of iatrogenic intraocular injuries caused by inadvertent cannula release during anterior segment surgery. Arch Ophthalmol. Published online 2007. https://doi.org/10.1001/archopht.125.7.889.

  112. Saha N, Price NC. Iatrogenic retinal tear and vitreous haemorrhage with Rycroft cannula during phacoemulsification cataract surgery [9]. Eye. Published online 2003. https://doi.org/10.1038/sj.eye.6700284.

  113. Kahawita S, Cugati S, Casson R. Cyclodialysis cleft with late hypotony maculopathy after inadvertent cannula detachment during cataract surgery. J Cataract Refract Surg. Published online 2015. https://doi.org/10.1016/j.jcrs.2015.04.002.

  114. Osher MS. Emergency treatment of vitreous bulge and wound gaping Complicating cataract surgery. Am J Ophthalmol. Published online 1957. https://doi.org/10.1016/0002-9394(57)92778-2.

  115. Ernest PH. Explantation of foldable lenses - intraocular re-folding. Video J Cataract Refract Surg. 1997;XII(4).

    Google Scholar 

  116. Eguchi S. Quadrantotomy. Video J Cataract Refract Surg. 2000;Volume XVI(1). https://vjcrgs.com/archive/2000.

  117. Batlan SJ, Dodick JM. Explantation of a foldable silicone intraocular lens. Am J Ophthalmol. Published online 1996. https://doi.org/10.1016/s0002-9394(14)72024-0.

  118. Batlan S, Doddick J. Explantation of foldable lenses - partial lensectomy. Video J Cataract Refract Surg. 1997;XII(4).

    Google Scholar 

  119. Narang P, Steinert R, Little B, Agarwal A. Intraocular lens scaffold to facilitate intraocular lens exchange. J Cataract Refract Surg. Published online 2014. https://doi.org/10.1016/j.jcrs.2014.07.015.

  120. IOL Explantation Set According to Snyder/Osher. Geuder https://www.geuder.de/produkte/instrumente/iol-explantation-nach-snyder-osher/.

  121. Basarir B, Kaya V, Altan C, Karakus S, Pinarci EY, Demirok A. The use of a supplemental sulcus fixated IOL (HumanOptics Add-On IOL) to correct pseudophakic refractive errors. Eur J Ophthalmol. Published online 2012. https://doi.org/10.5301/ejo.5000156.

  122. Davison JA. Positive and negative dysphotopsia in patients with acrylic intraocular lenses. J Cataract Refract Surg. Published online 2000. https://doi.org/10.1016/S0886-3350(00)00611-8.

  123. Smith SG, Holladay J, Knoll R. YAG laser injury of intraocular lenses. Eur J Implant Refract Surg. Published online 1992. https://doi.org/10.1016/S0955-3681(14)80009-9.

  124. Bath PE, Hoffer KJ, Aron-Rosa D, Dang Y. Glare disability secondary to YAG laser intraocular lens damage. J Cataract Refract Surg. Published online 1987. https://doi.org/10.1016/S0886-3350(87)80076-7.

  125. Mamalis N, Craig MT, Price FW. Spectrum of Nd:YAG laser-induced intraocular lens damage in explanted lenses. J Cataract Refract Surg. Published online 1990. https://doi.org/10.1016/S0886-3350(13)80806-1.

Download references

Author information

Authors and Affiliations

  1. Cincinnati Eye Institute, University of Cincinnati, Cincinnati, OH, USA

    Robert H. Osher

  2. University of Western Australia, Centre for Ophthalmology and visual Science, Lions Eye Institute, Sir Charles Gairdner Hospital, Perth, WA, Australia

    Graham D. Barrett

  3. CAMO Centro Ambrosiano Oftalmico – Milano, Milan, Italy

    Lucio Buratto

  4. Cleveland Eye Clinic, Brecksville, OH, USA

    Arjan Hura

Authors
  1. Robert H. Osher
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Graham D. Barrett
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lucio Buratto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Arjan Hura
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Robert H. Osher .

Editor information

Editors and Affiliations

  1. Division of Ophthalmology, School of Medicine, Miguel Hernandez University, Alicante, Spain

    Jorge L. Alió

  2. Ruhr University Eye Clinic, Bochum, Germany

    H. Burkhard Dick

  3. Cincinnati Eye Institute, University of Cincinnati, Video Journal of Cataract, Refractive & Glaucoma Surgery, Cincinnati, OH, USA

    Robert H. Osher

Electronic Supplementary Materials

Secondary capsulorhexis with intraocular forceps (MP4 17477 kb)

Small capsulorhexis, which can be enlarged later in the procedure (MP4 48464 kb)

OVD cannula through the second incision to sweep the iris back into the anterior chamber (MP4 59997 kb)

Gape suturing technique for thermal injury (MP4 78107 kb)

Posterior capsular tear management (MP4 292613 kb)

Dry cortical removal technique (MP4 86349 kb)

Reverse optic capture (MP4 39012 kb)

Traditional optic capture (MP4 47589 kb)

Kelman Posterior Assisted Levatation (PAL) technique (MP4 81879 kb)

Bimanual anterior vitrectomy technique through the limbus (MP4 110353 kb)

Techniques for air removal from AC in positive pressure (MP4 57113 kb)

Depressing anterior capsule reverses LIDRS (MP4 23433 kb)

Ernest intraocular lens refolding technique (MP4 109722 kb)

Eguchi technique for lens explantation (MP4 89870 kb)

Trisection of IOL for explantation (MP4 62404 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Osher, R.H., Barrett, G.D., Buratto, L., Hura, A. (2022). Managing Complications During Cataract Surgery. In: Alió, J.L., Dick, H.B., Osher, R.H. (eds) Cataract Surgery . Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-94530-5_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-94530-5_37

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94529-9

  • Online ISBN: 978-3-030-94530-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation