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This video shall elucidate the problems with cataract surgery in eyes with compromised corneas like patients with Corneal scars and Dystrophies, Keratoconus, Fuch’s Dystrophy, prior Radial Keratotomy and prior Penetrating Keratoplasty. We shall show how to take decisions preoperatively and intra-operatively to ensure good surgical outcomes and how to manage intraoperative challenges effectively.