CataractCoach™ 2689: flip & chop technique for cataracts with more nuclear density скачать в хорошем качестве

CataractCoach™ 2689: flip & chop technique for cataracts with more nuclear density

Last week we featured a video of me performing flip and chop on a cataract of modest nuclear density, so it begs the question: Can we perform flip and chop on a nucleus with more density? This variation of phacoemulsification is great for efficient removal of dense cataracts. After creating a 5.5 mm capsulorhexis, we use gentle hydrodissection to lift one pole of the nucleus out of the capsular bag into the anterior chamber, a maneuver termed the “flip.” This exposes the posterior aspect of the nucleus, allowing direct chopping with a second instrument to split the nucleus into manageable fragments. By flipping the nucleus into the iris plane, the technique minimizes stress on the zonules and posterior capsule, making it particularly useful in hard nuclei. Efficient debulking and removal of nuclear fragments follow with high vacuum and controlled phaco power. The technique enhances safety and control in dense cataracts while preserving capsular integrity for intraocular lens implantation. Have you tried this technique yet?