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PubMed · 10387320

Surgical techniques for difficult cataracts.

A Vasavada·R Singh
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Abstract

This article reviews some of the advances that have taken place in the surgical techniques for difficult cataracts such as rock-hard, white, and posterior polar cataracts. Fashioning a central space, modified chopping maneuvers, and creation of multiple small fragments have enabled the surgeon to consistently achieve a successful outcome. A judicious combination of chop and separation movement in a step-by-step manner reduce the stress of the procedure and make it safer. Raised intracapsular pressure and poor visibility are dealt with through various innovative techniques. Use of high-viscosity sodium hyaluronate and double capsulorhexis allow the surgeon to achieve capsulorhexis with a high success rate. A controlled and gentle approach to phacoemulsification has proven to be the key factor for success in posterior polar cataracts.

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CataractHumansLens Capsule, CrystallinePhacoemulsificationJournal ArticleReview

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BibTeXRIS

A Vasavada, R Singh. 1999. Surgical techniques for difficult cataracts.. https://doi.org/10.1097/00055735-199902000-00009

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