PT  - JOURNAL ARTICLE
AU  - M M K Muqit
AU  - F D Ghanchi
TI  - Single incision wagon wheel phaco
AID  - 10.1136/bjo.2008.141010
DP  - 2008 Sep 01
TA  - British Journal of Ophthalmology
PG  - 1205--1205
VI  - 92
IP  - 9
4099  - http://bjo.bmj.com/content/92/9/1205.short
4100  - http://bjo.bmj.com/content/92/9/1205.full
SO  - Br J Ophthalmol2008 Sep 01; 92
AB  - 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.▸ To view the full report and accompanying video please go to: http://bjo.bmj.com/cgi/content/full/92/9/1205/DC1▸ All videos from the BJO video report collection are available from: http://bjo.bmj.com/video/collection.dtl