Abstract
Nothing is more anxiety provoking than when the expected rapidly turns into the unexpected. The most frequent outpatient surgical procedure in the United States is cataract surgery.1 The success and rapidity of today’s planned small-incision cataract surgery depends on the development of a series of surgical maneuvers with little variation. Accordingly, nowhere else in ophthalmology is there more anxiety generated than when a “routine” cataract procedure is complicated by capsular rupture, vitreous loss, and posterior dislocation of the lens fragments. Although the lens fragments may be lost posteriorly and the surgeon may begin to perspire, all is not really lost. With the proper intraoperative and postoperative management, patients can have an excellent result, and the cataract surgeon’s acute management plays an important role in bringing a good outcome to fruition.
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