Triple Trouble – Hard Cataracts Small Pupils
And Other Difficult Situations!
Dr. Cyres Keiki Mehta
Despite rapid advances in technology, hard cataracts, small pupil and other difficult situations remain
challenging. Hard cataracts require specific strategies like the direct chop, power modulation, torsional phaco
and endothelial protection. Despite the advent of FLACS a useful tool, phaco and SICS remain the mainstay
of hard cataract removal for 98 percent of ophthalmologists in India. Should we make the incision a little
bigger so that there is less incidence of wound burn, should we make a larger rhexis than recommended to
ease nuclear management, what kind of device can we use to open small pupils; certain cases are better
managed with pupil hooks despite the advent of cheaply available pupil rings. Difficult situations include,
coexisting glaucoma, narrow anterior chamber, subluxated cataracts, pseudoexfoliation, loose zonules and
the dreaded posterior capsule rupture. Effective strategies to tackle these strategies will be taught in an
interactive manner by the experts.
| 1 | Rock hard cataracts – effective strategies for a hard problem | Dr. Cyres Keiki Mehta | watch video |
| 2 | Flacs and other strategies to tackle rocks | Dr. Keiki R. Mehta | watch video |
| 3 | Have pupil rings rendered hooks obsolete | Dr. Mohita Sharma | |
| 4 | The lord of rings and hooks revisits his kingdom | Dr. Gaurav Luthra | watch video |
| 5 | Phaco or flacs for hard cataracts and small pupils | Dr. Ritika Sachdev | watch video |
| 6 | Small pupils and glaucomatous eyes | Dr. Prateep Vyas | watch video |
| 7 | Dr Cyres Keiki Mehta | watch video | |
| Total duration (including panel discussion of 3 mins) |
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