Sudden patient head movement during cataract surgery poses a significant risk to intraocular structures and can lead to serious complications if not managed promptly and appropriately. Intraoperatively, proper patient positioning and the use of a well-fitted headrest or paper tape over the forehead can help minimize spontaneous movement. Adequate sedation is crucial; a cooperative but relaxed patient is ideal, and anesthesiologists should be prepared to adjust medication if restlessness or anxiety develops. If movement occurs despite these measures, the surgeon must immediately withdraw instruments from the eye to prevent intraocular damage. The surgeon should calmly remind the patient to remain still, reassess sedation, and resume once the situation is fully under control. Communication, anticipation, and a calm, methodical response are essential to ensuring patient safety and maintaining surgical precision in these challenging moments.
