Journal of Cataract & Refractive Surgery
Volume 35, Issue 10 , Pages 1665-1670, October 2009

Decrease and conquer: Phacoemulsification technique for hard nucleus cataracts

  • Hong Kyun Kim, MD, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author: Hong Kyun Kim, MD, PhD, Department of Ophthalmology, Kyungpook National University Hospital, #50, Samduk–2Ga, Jung-Gu, Daegu 700-721, South Korea.

From the Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, South Korea

Received 14 January 2009; received in revised form 5 May 2009; accepted 5 May 2009.

I describe a technique to improve the control and safety of phacoemulsification during hard nucleus cataract surgery. Whereas the goal of the conventional nucleofractis technique is complete fragmentation of the lens, the technique aims to separate the endonuclear core from the epinucleus. This is done in 3 steps: circumferential disassembly, decreasing the central nucleus volume, and conquering the remnant. The technique offers safer and more effective phacoemulsification in patients with hard nucleus cataracts.

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 The author has no financial or proprietary interest in any material or method mentioned.

 Presented at the ASCRS Symposium on Cataract, IOL and Refractive Surgery, Chicago, Illinois, USA, April 2008.

PII: S0886-3350(09)00673-7

doi:10.1016/j.jcrs.2009.05.038

Journal of Cataract & Refractive Surgery
Volume 35, Issue 10 , Pages 1665-1670, October 2009