A 100-year-old patient decides she would like to undergo cataract surgery. Several challenges can be expected, as the tissues are weaker, the zonular support is lax, the nucleus is dense and gummy, and the systemic anesthesia therapeutic window is narrow.

Uday Devgan, MD, FACS

• Private practice, Devgan Eye Surgery, Los Angeles
• Partner, Specialty Surgical Center, Beverly Hills, California
• Clinical Professor of Ophthalmology, Jules Stein Eye Institute, UCLA School of Medicine, and Chief of Ophthalmology, Olive View-UCLA Medical Center, Los Angeles
• devgan@gmail.com; Twitter @devgan; www.cataractcoach.com
• Financial disclosure: None