Small eye - a small stump which can challenge and tilt a great surgery.

The small eye suggests an apparently robust anatomy with a more resistant sclera, good trabecular function, good uvea trophicity, a healthy retina, with a full papilla. The volume of these eyes is small. Usually, the volume of the eye is related to the sagittal diameter of the eye. However, the volume of a sphere varies with the third power of the radius of the sphere. These small eyes have a volume smaller than their sagittal diameter suggests. In this volume, highly decreased develop certain anatomical components without having to keep proportions (lens, choroid), and some have a continuous growing volume (lens). On long term, there is a balance inside these eyes despite a disproportion between their components. This internal disproportion inside the small eye can erupt through pressure differences between its structures: pupillary block, angle closure or a disproportionate response in case of typically uncomplicated surgery, which alters the apparent internal balance of these eyes. Seemingly simple surgeries, such as phacoemulsification or filtering surgery can trigger storm (storms occur by differences in atmospheric pressure) with the following characteristics: - intraocular "precipitation" in the form of uveal effusions, massive choroidal hemorrhage exudative retinal detachment, CME - breaks in anatomical barriers, lens posterior capsular tear - deviations courses: aqueous misdirection Surgical operations on these eyes are like a dangerous storm surfing, with risks, incidents, with unpredictable but great experience and courage request.