Be prepared for complications during cataract surgery
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WAILEA, Hawaii — During cataract surgery preparation, it is important to consider all potential outcomes and to plan an exit strategy in the event the case becomes too much to handle, according to speakers at Hawaiian Eye 2021.
“We all run into these cases where you know it may be difficult from the start,” Deborah G. Ristvedt, DO, said during a panel discussion of cataract surgery complications. “So, how can you keep your heart rate low as you’re going through the case and really prepare and prepare your staff as well?”
When preparing for difficult cases, it is important to realistically assess the challenges that may occur.
“I think that you really want to be prepared, but you call it like you see it. It’s kind of a combo,” Audrey R. Talley Rostov, MD, said. “I think you just prepare for whatever you need to and let the operating room know, and you just have to be flexible.”
If the procedure could involve iris repair, for instance, Talley Rostov recommended preparing the necessary sutures, tools and techniques.
Before beginning a difficult case, it is important to decide at which point the case will become too much and require outside assistance.
“So, maybe in this case you’re prepared for a sutured IOL ... but if this thing falls into the vitreous, I’m out. We’re going to include retina and come back from there,” John P. Berdahl, MD, said.
“I think that it’s good to know, predetermine so you don’t have to necessarily have to think in the moment where your exit strategy lies, and then have every tool that you need to get to that point,” he said.
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Ristvedt DG, et al. Traumatic cataract and iridodialysis: You make the call. Presented at: Hawaiian Eye; May 8-14, 2021; Wailea, Hawaii.
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