Abstract

Improper superior rectus bridle suture application can hinder smooth nucleus delivery in small incision cataract surgery. Center of frown-incision should be 1.5- 2mm away from limbus. Depth of corneo-scleral groove should take scleral thickness into consideration, particularly in myopic eyes, else it can lead to pre-mature entry. Pooling of saline should be avoided as tunnel is not self-sealing in such cases. A smooth movement of crescent in intended corneo-scleral tunnel signifies wrong plane. The smooth entry of keratome into AC, without dimpling of underlying layers of cornea, also indicates same. Excessive injection of visco-elastics can lead to iris prolapse complicating manoeuvre in tunnel. Holding opening of corneo-scleral tunnel with instrument, earlier switching on irrigating-vectis before engaging nucleus can complicate a pre-existing pre-mature entry. Irrigation & aspiration should be done through side port. A timely application of 10-0 NMF can salvage the iris.