Abstract

A modified Siepser endocapsular controller is used to split the nucleus along the 12 to 6 o'clock meridian during bimanual endocapsular phacoemulsification. The original design of this instrument was by Steven Siepser and included a trumpet-bell shaped tip. This design has been modified so as to incorporate a posterior curvature to the shaft. When used in the manner described in this paper, this curvature greatly enhances the application of forces required to split the nucleus within the capsular bag. This modified instrument thus facilitates even the splitting of softer nuclei within the capsular bag.

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