This patient has a functioning glaucoma seton device with the tube visible in the angle. There is also a peripheral iridotomy and lots of posterior synechiae. But the challenge is the fluidic balance during phaco. There is one source of fluid inflow, the BSS inflow from the phaco probe, but now there are three sources of fluid outflow: the aspiration from the phaco probe, the leakage from the incisions, and the outflow from the seton tube. How do you safely perform this surgery and achieve fluidic balance? What are your best pearls in this situation?
