How Do I Prevent Nucleus Drop During Phaco Emulsification?
December 28, 2009
I would like to know the precautions to be taken, and the do’s and dont’s, to prevent nucleus drop during phaco emulsification. Your comments are welcome. Thank you.
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Comments
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this is a hard question to answer. if you are a new ophthalmologist, your complications overall will be reduced greatly after you hit the 500 mark of phaco’s. that’s just plain experience.
in the meantime, i find that residents place too much downward pressure when they crack the nucleus. be mindful of that and try a nucleus cracker, or use chopping. if you have pseudoexfoliation or bad zonules, you simply have to go slow and deliberate. when rotating the nucleus, again use a dialing motion w/o downward pressure. lastly, be careful when hydrodissecting a mature cataract- it can blow out the posterior capsule. watch the fluid wave and press down a little to let the bss come forward.