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Disclaimer: To manage hard cataract is always a challenge to many even with best possible machines of today. I hv utilized Dr neha Dholakia IOL cutter tip to show how this technique can be used for Nucleus cutting in addition. Serving dual purpose on any phaco machine. Dr Luis Escaff has already designed Ultrasonic prechopper 14 years ago for 1st time, & was marketed by ALCON. Ultrasonic prechopper by Dr. Luis Escaff is an excellent innovation, which can help to manage hard cataracts even today. For unknown reasons it is not available in India. We are demonstrating an alternative instrument for same purpose. This instrument was primarily made for iol cutting by dr neha dholakia 6 months ago ( • IOL CUTTER - INSTRUCTIONS ) I have found this V shaped tip design to stabilise the nucleus and give idea of depth for cataract cutting as an additional use using counter pressure with ball tip/blunt chopper similar to horizontal chop serving dual purpose. www.shreenetralaya.com