Abstract

75year old male patient with right eye mature cataract who is unable to lie down in supine position due to multiple spine and hip fractures. Observation and illumination systems were removed from slit lamp table and only mechanical support is left intact.
peribulbar block given, betadine draping done, patient sat on height adjustable chair, patient's chin is placed on slit lamp chin rest, operating microscope's object is tilted towards patient's right eye. Sterile draping done, eye speculum placed, 1st sideport incision given at 2'o clock and 2nd sideport incision given at 7'oclock, main incision 2.8mm given at 3'o clock, surgery done with both hands in outstretched position. CCC done, hydrodissection done, phacoemulsification performed, cortex aspiration done with bimanual I/A, foldable IOL injected into the capsular bag, remaining visco removed, intracameral moxifloxacin given, hydration of all wounds done, pad and bandage applied.