Author(s): Vanathi M, Vajpayee RB, Tandon R, Titiyal JS, Gupta V
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Abstract We describe a technique of in-the-bag phacoemulsification of large, hard, leathery brown nuclear cataracts. A large crater approximately 6.0 mm diameter is created by down-slope sculpting up to 90\% of nuclear thickness, leaving the outer nuclear rim intact. The edge of the crater is held with the phaco probe using high vacuum, and small wedge-shaped pieces are created with a chopper. These small pieces are emulsified in the space created by the crater. This technique permits in-the-bag phacoemulsification of large brown cataracts without complications.
This article was published in J Cataract Refract Surg
and referenced in Journal of Clinical & Experimental Ophthalmology