2# Phaco Nightmares for Experienced Surgeon | Bulky Brunescent Cataract in High Myopia скачать в хорошем качестве

2# Phaco Nightmares for Experienced Surgeon | Bulky Brunescent Cataract in High Myopia

Managing a Bulky Brunescent Cataract in High Myopia (AXL 28.26mm, IOL +6.0D) --------------------- In this case, we encounter a challenging bulky brunescent cataract in a highly myopic eye (AXL 28.26mm, IOL +6.0D) with a thick, uniformly sclerotic lens measuring 5.4mm. Intraoperative Challenges: a) Dense, brunescent nucleus requiring meticulous sculpting b) Deep anterior chamber due to high axial length c)Increased risk of zonular dehiscence during sculpting, cracking, and rotation d) Difficulty using chopping techniques due to the large and thick nucleus e) Possibility of ICCE conversion in case of unstable zonules Key Surgical Note: Careful fluidics control and minimal zonular stress are essential. Longitudinal power is preferred Anticipate deep AC handling and modify nucleus management strategy accordingly. Watch till the end to see how intraoperative strategy and second-instrument support help achieve a safe nucleus disassembly despite these challenges. #CataractSurgery #Phacoemulsification #BrunescentCataract #HighMyopia #Ophthalmology #EyeSurgery #SurgicalEducation #DenseCataract