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Year : 2017  |  Volume : 4  |  Issue : 3  |  Page : 79-81

Soft cataract: Improving surgical safety with modified phacoemulsification

Department of Ophthalmology, Mission Nethralaya, Shillong, Meghalaya, India

Correspondence Address:
Dr. Amarendra Deka
Mission Nethralaya, Shillong, Meghalaya
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/bijo.bijo_7_17

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Purpose: To describe a modified stop and chop technique for managing soft cataract to improve the surgical safety. Materials and Methods: 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 hydroprocedure is achieved. Nucleus is emulsified using ultrasound power, and intraocular lens is implanted. Results: This technique results in easy rotation and removal of nucleus and epinucleus using low phaco power. Conclusions: This modified phacoemulsification technique is safe and very effective to emulsify soft to moderate hard cataract where direct chop is not possible.

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