Cataract surgery in short eyes

Considerations for cataract surgery in short eyes
YES Connect, Eye World Oct, 2016

Speak to your patients, can help keep patients from holding their breath.


PRE-OP

Higher risk for suprachoroidal hemorrhage: AXL < 20mm, WTW<11mm,
Take a look at gonioscopy prior to dilation


INTRA-OP

1. The speculum is not placed too wide.
2. Low threshold to place a Malyugin ring
3. CCC carefully, incrreased anterior capsule convexity
4. Iris hook
5. Refill dispersive viscoelastic more oftenly
6. Avoid RA


IOL Calculation
1. Holladay 2 and Barrett Universal 2
2. Holladay 2 and Hoffer Q

EXTRA
1. Head a little higher with eye above the level of the chest
2. Avoid large pressure fluctuation



Dr. Yu-Hao Lin, MD
Deputy superintendent, Brand New Eye Clinic
http://www.eyeDrLin.tw