Cataract Surgery in Compromised eyes

C ataract surgery in compromised eyes is one of the major challenges faced by ophthalmologists. Sometimes, despite perfect anatomic results, comorbidities within the eye can impair functional vision postoperatively. In order to achieve favorable results in these cases, a thorough intraoperative strategy is mandatory. Below I describe the preand postoperative regimen we use at the Academic Teaching Hospital of St. John in Vienna, Austria, and I present considerations for surgery in eyes with complicating conditions such as chronic uveitis, pseudoexfoliation (PXF) syndrome, diabetic retinopathy, and agerelated macular degeneration (AMD).