Breaking conventions while performing phacoemulsification in a posterior polar cataract

Sunil K. Thangaraj, Geoffrey Cohn

Meeting:  2022 RANZCO


Date:      -

Session Title: CATARACT

Session Time:      -

Conventionally we are taught not to hydro-dissect or rotate the nuclear epinuclear complex in cases of posterior polar cataracts. This frequently makes the surgery not only difficult but also can result in the very complications we are trying to avoid.
This video details three cases where the author breaks these very conventions and shows that by maintaining an environment of low intraocular pressure and never over inflating the anterior chamber we can perform both hydro-dissection and rotate the nuclear epinuclear complex. This makes the surgery much less complex than if we were to follow the recommended rules.