This is our last of the dozen cases presented at the CataractCoach instructional course at the 2022 ASCRS meeting.
When you are performing cataract surgery in an eye with a prior trabeculectomy, there are extra challenges that must be considered. There is an addition fluidic outflow path through the trabeculectomy site and this can lead to anterior chamber instability. Also there may be post-operative hypotony due to over-filtration so you must take steps to ensure the IOL stays in the capsular bag and the incision stays shut even if the anterior chamber shallows. This video goes over the best pearls for success in these challenging eyes.