Clinical Ophthalmology

Comprehensive Management of Complex Cataracts: Surgical Innovations and Postoperative Strategies

Complex cataracts represent a diverse group of challenging cases that require advanced surgical skills, tailored techniques, and meticulous perioperative care. These cases may involve coexisting ocular comorbidities, traumatic cataracts, zonular instability, small pupils, corneal opacities, pseudoexfoliation, uveitis-related lens changes, or high myopia. The variability in presentation demands that surgeons not only master technical adaptations but also integrate multidisciplinary management approaches to optimize patient outcomes.

As global cataract surgery volumes rise, the proportion of cases with added complexity is increasing. Inadequate planning or inappropriate intraoperative decision-making in such cases can lead to sight-threatening complications and poor visual rehabilitation. At the same time, recent innovations—from femtosecond laser-assisted cataract surgery and capsular tension devices to advanced intraocular lens (IOL) technologies and enhanced imaging—offer unprecedented opportunities to improve safety and outcomes. By systematically addressing complex cataracts through both surgical and post-surgical lenses, clinicians can reduce complication rates, enhance visual quality, and improve patients’ quality of life.

This Article Collection seeks to explore all aspects of complex cataract management, including preoperative evaluation, surgical decision-making, intraoperative innovations, complication prevention, and comprehensive postoperative care.

Subtopics may include:

• Surgical approaches for eyes with weak zonules, coexisting corneal pathology, or previous ocular surgeries
• Management of cataracts in uveitis, glaucoma, or high myopia
• IOL selection and fixation techniques
• Perioperative medical management
• Rehabilitation strategies

We welcome original research articles (including surgical technique papers), review articles, perspectives, and commentaries.

Submission Instructions:

Please submit your manuscript through the Dovepress website. During submission, enter the promo code 126EA for a 10% discount off the Article Processing Charge and to indicate that your submission should be included in this Article Collection.

All manuscripts submitted to this Article Collection will undergo full peer-review; Guest Advisors will not be handling submitted articles. Please review the journal’s aims and scope and author submission instructions prior to submission. Standard Article Publishing Charges apply.

The manuscript submission deadline is May 31st, 2026.

If you have any questions about this Article Collection, please contact Krista Thom at Krista.Thom@taylorandfrancis.com.

Guest Advisors:

Dr. Bharat Gurnani is an ophthalmologist specializing in cornea, cataract, and refractive surgery, with over a decade of clinical and surgical experience. He has authored numerous peer-reviewed publications, book chapters, and CME modules, and serves as a reviewer for leading ophthalmology journals. Dr. Gurnani has been recognized internationally for his contributions to ophthalmic education and innovation, including multiple awards from AIOS and APAO. His professional interests include advanced cataract surgery, corneal transplantation, ocular surface diseases, and the integration of AI and teleophthalmology in clinical practice. He is the cataract Section Editor for Clinical Ophthalmology.

Dr. Kirandeep Kaur is an ophthalmologist specializing in cataract, pediatric ophthalmology, strabismus, and neuro-ophthalmology. She has authored numerous peer-reviewed publications, contributed to academic book chapters, and presented at leading national and international conferences. Dr. Kaur is actively engaged in clinical research, ophthalmic education, and community outreach programs aimed at combating preventable blindness. Her professional interests include complex cataract surgery, pediatric and adult strabismus management, and neuro-ophthalmic disorders.

Disclosure Statement: Dr. Gurnani and Dr. Kaur declare no conflicts of interest.