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Inside Out Delineation

‘Inside–Out Delineation’ is a substitute technique that can be used instead of conventional hydro procedures as it can precisely delineate the central core of the nucleus in cases of posterior polar cataract (PPC) or suspected PPC. A central trench is sculpted using the slow-motion technique. Care should be taken not to mechanically rock the lens. Hydro cannula, mounted on a 2 cc syringe filled with fluid, is introduced through the main incision and the tip is placed adjacent to the right wall of the trench at an appropriate depth. Once central nuclear core is delineated, it is emulsified and aspirated before tackling the outermost cortex.