Ashvin Agarwal, MD, focuses his blog on interesting cases and experiences he encounters as an anterior segment surgeon.

SURGICAL VIDEO: Capsulorrhexis run management when all breaks loose

This surgery showcases the steps involved in a complication management of coloboma cataract. The surgeon, while implanting the IOL, had a rhexis run posteriorly, and the surgeon salvages the situation by changing gears from plan A to plan B and eventually implanting a lens using the glued IOL technique and also closing the iris defect using the single-pass four-throw pupilloplasty technique. During the first part of the procedure, the surgeon also shows vitrectomy-assisted phacoemulsification, which is used to reduce positive pressure during such aqueous misdirection cases.