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This video will show complex cataracts and plan to deal with them.A penetrating keratoplasty with posterior synechiae,miosis,hard cataract,high cylinder of 14DC,a PPM with subluxated cataract,a 25 year old IOL-sudden dislocation in anterior vitreous on table & repositioned,a modified bimanual I/A to help with miotic pupils will be shown.Proper planning each case can have good surgical outcomes