J Clin Ophthalmol Eye Disord | Volume 1, Issue 1 | Surgical Technique | Open Access
Amarendra Deka*
Department of Ophthalmology, Mission Nethralaya, Shillong, India
*Correspondance to: Amarendra Deka
Fulltext PDFPurpose: To describe a modified stop and chop technique for managing soft cataract that we have modified to improve the surgical safety.
Method: Capsulorrhexis is performed as usual with a 27 gauge needle. A trench is fashioned using low ultrasonic power. Hydrodelineation is performed by a cannula introducing directly in central lens substance. Hydrodissection follows next and precise hydro procedure is achieved. Nucleus is emulsified using ultrasound power and intraocular lens is implanted.
Result: This technique results easy rotation and removal of nucleus & epinucleus. Conclusions: This modified phacoemulsification technique is safe and very effective to emulsify soft to moderate hard cataract where direct chop is not possible. The past couple of decades have witnessed several technical modifications in cataract surgery. Despite recent advances in technique and technology, phacoemulsification in soft cataract is challenging for majority of young surgeons.
Deka A. Soft Cataract: Improving Surgical Safety with Modified Phacoemulsification Technique. J Clin Ophthalmol Eye Disord. 2017; 1(1): 1004.