I have recently read several articles on on the issue of retained lens fragments after phaco, and to me, it seems like a no-brainer- better to tell the patient about the complication and have the patient seen by the retinologist the next day. I think the only reason cataract surgeons delay the referral is that they are in a state of denial. They just don’t want to face the ordeal of explaining the situation to the patient, seeing their discouraged faces, and thinking about all the post-op visits and hand-holding the patient will need. We also look at the whole scenario as an affront to our skills, an insult. We take the whole thing very personally and wonder why we, and no one else, gets these complications. It’s a little bit irrational. Let’s gather the strength to do what’s in the best interest of our patients and will help us in the legal arena- refer the patient immediately.