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Phaco is the most accepted mode of cataract surgery because of various advantages over conventional large incision surgeries.However certain cataract poses a challenge to even this technique.One of such type is Phaco in high Myopia.There are various issues in managing cataract with phaco.Most important preoperative issue is doing accurate biometry and using correct formula to get emmetropia.Intraoperative isues are because of low scleral rigidity,increased anterior chamber volume,elongated eyes, liquified vitreous & retinal degenerations.There is sudden deepening of anterior chamber due to posterior shifting of Iris Lens diaphragm which also causes reverse pupillary block (LIDRS) as soon as irrigation is put on.These problems are more with machine using gravity fed irrigation which causes sudden increase in IOP.There are more chance of AC fluctuation also.As opposed this,in machine with active fluidics,it is possible to do all steps of surgery under very low IOP with very stable chamber.This minimises chance of PCR & posterior segment problem.Since there is less stretching of zonules,there is less pain also during the procedure.This video highlights the benefit of active fluidics technology in phaco in extremely high myope patient .