Abstract

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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