Dr.Sudhir Kumar Parwani, Dr.O.P.Agrawal
On a bad day trouble never comes alone. Even the simplest procedures may land the surgeon into troubles from which it becomes almost difficult to come out. I describe the sequence of events on one such bad day, while operating a simple phaco surgery under peribulbar anesthesia. The First Trouble: In the initial part of trenching a more than ninety degree zonular dialysis happened. This was managed by converting to extra capsular surgery &after removing the nucleus & cortex the wound was sutured. The Second Trouble: It was decided to put a retro iris fixated lens. As the bad luck could have it while fixing the lens it slipped onto the posterior chamber. After calm down period of few second a pars plana Vitrectomy was done & lens was brought to the pupillary plane with the help of forcep. The Third Trouble: The story did not end here, while again fixing the lens to iris its claw broke. Then there was no other option to remove this IOL & replace it with.