Surgical techniques for difficult cataracts

Curr Opin Ophthalmol. 1999 Feb;10(1):46-52. doi: 10.1097/00055735-199902000-00009.

Abstract

This article reviews some of the advances that have taken place in the surgical techniques for difficult cataracts such as rock-hard, white, and posterior polar cataracts. Fashioning a central space, modified chopping maneuvers, and creation of multiple small fragments have enabled the surgeon to consistently achieve a successful outcome. A judicious combination of chop and separation movement in a step-by-step manner reduce the stress of the procedure and make it safer. Raised intracapsular pressure and poor visibility are dealt with through various innovative techniques. Use of high-viscosity sodium hyaluronate and double capsulorhexis allow the surgeon to achieve capsulorhexis with a high success rate. A controlled and gentle approach to phacoemulsification has proven to be the key factor for success in posterior polar cataracts.

Publication types

  • Review

MeSH terms

  • Cataract / complications*
  • Humans
  • Lens Capsule, Crystalline / surgery*
  • Phacoemulsification / methods*