Single Incision Wagon Wheel Phaco

Abstract

Soft-to-semisoft cataracts may be challenging to remove with conventional sculpting and chopping phaco techniques. There are risks to intracameral structures during excessive and prolonged instrumentation. At a paracentesis site, corneal trauma may lead to wound leakage and astigmatism. We describe a technique for soft-to-semisoft lens extraction that minimises the mechanical stresses within the eye and utilises low phaco energy during surgery. The endonucleus is positioned in the vertical plane at the level of the capsulorhexis, and then removed in a centrifugal manner. Our single site wagon wheel technique uses the flow dynamics associated with high vacuum and burst phaco to safely remove soft-to-semisoft cataracts.