ABSTRACT

Cataract surgery has been one of the most frequently performed surgical procedures worldwide for over a century. While inexperience is known to cause a higher complication rate, high volumes and phenomenal success rates can also lead to complacency and judgement errors when complications do occur. Busy schedules, observers, and videography may contribute to faulty decision making when the capsule ruptures. High success rates, outpatient surgery, no stitch, no patch, emmetropia, and topical anesthesia elevate patient expectations unrealistically furthering the problem.