Cataract Surgery in Challenging Cases: A Review

A shallow anterior chamber will occur when a patient has a short axial length, a small eye, hyperopic refraction, or a cataract that has been present too long before the patient is willing to undergo cataract surgery. A cataract is much like a tree. It will grow throughout life and can lay down a new ring of lens epithelial cells each year, growing and crowding the anterior chamber eventually causing a shallow anterior chamber and narrow-angle or angle closure glaucoma and sudden blindness if cataract surgery is not performed in a timely fashion.