Dr.NAVONIL SAU

, Dr. SIL ASIM KUMAR, Dr.RAJNI SAU

Abstract

Purpose: To operate a patient with adherent leucoma with hard complicated cataract through a small rigid pupil.

Setting/Venue: rural eastern Indian eye hospital at India.

Methods: After peribulbal block, surgeon decided to go with phacoemulcification surgery. but after the compromised Capsulorhexis surgeon decided to convert into small incision cataract extraction.

Results: There was poor dilatation, improper staining with blue dye, compromised rhexis, difficult hydro prolapse, unstable PCIOL implantation…… but still achieve favorable outcome.

Conclusions: Timely taken decision and timely changing the mind is a great virtue of a average surgeon with courage makes a huge difference.