AU - , Balasaraswathy AU - Priya, A AU - Narendran, Kalpana AU - Sagam, Navaneeth TI - Postoperative high astigmatism - Refractive surprise following manual small-incision cataract surgery PT - CASE DP - 2009 Jan 1 TA - Journal of Indian Association of Public Health Dentistry PG - 92-94 VI - 7 IP - 14 4099- https://journals.lww.com/aphd/pages/default.aspx/article.asp?issn=2319-5932;year=2009;volume=7;issue=14;spage=92;epage=94;aulast=Bala;type=0 4100- https://journals.lww.com/aphd/pages/default.aspx/article.asp?issn=2319-5932;year=2009;volume=7;issue=14;spage=92;epage=94;aulast=Bala AB - Postoperative astigmatism plays an important role in the final visual outcome of cataract surgery. In small-incision cataract surgery, proper tunnel construction is of utmost importance for good structural integrity, leading to sutureless self-sealing wounds with lesser astigmatism. We report a case of postoperative high astigmatism following manual small-incision cataract surgery due to large, irregular, superficial, and more anterior corneal entry that lead to poor tunnel valve effect and wound sagging. This resulted in a poor postoperative unaided visual outcome.