In situ nuclear disassembly: Efficient phacoemulsification without nuclear rotation using lateral sweep sculpting and in situ cracking techniques
Received 8 February 2009; received in revised form 13 April 2009; accepted 15 April 2009.
We describe an in situ nuclear disassembly technique using a simplified form of sculpting and cracking, enhanced by phacoemulsification technology with a Kelman-style tip. The technique does not require mobilization or rotation of the nucleus within the capsular bag, and hydrodissection is optional. The technique requires a Kelman-style curved tip and Kuglen hook and takes advantage of the versatility of the curved phacoemulsification needle for sculpting and cracking. Since in situ nuclear disassembly requires no rotation of the nucleus for extraction, it is useful in cases in which zonules are compromised or the surgeon suspects posterior lenticonus and the potential for loss of integrity of the posterior capsule.
From The New York Eye & Ear Infirmary (Koplin, Seedor, Ritterband), New York, New York, and the Wilson Surgicenter (Anderson), Lubbock, Texas, USA
Corresponding author: Richard S. Koplin, MD, The New York Eye & Ear Infirmary, 310 East 14th Street, New York, New York 10003, USA.
Richard S. Koplin, MD, David C. Ritterband, MD, and John A. Seedor, MD, are consultants to Alcon Laboratories. No author has a financial or proprietary interest in any material or method mentioned.
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