Dr. SOURABH PATWARDHAN

Dr.Nidhi patwardhan

Abstract

Purpose: To put forward a newer technique of nucleofractis by “sideways sculpting” in the case of posterior polar cataract (PPC) with nuclear sclerosis.

Method: It is a retrospective analysis of 17 eyes who had PPC. After controlled hydrodelineation, a “+” or sideways sculpting with the phaco tip without rotating the lens was performed, maintaining the integrity of the epinuclear portion of the lens and chopping the fragmented nuclear quadrants.

Results: The nucleus and epinucleus were easily removed in 17 cases using the sideways sculpting technique. It is a helpful technique for harder grades of cataracts because the nucleus must be divided, as opposed to softer grades of nuclear sclerosis where the nucleus can be aspirated without dividing. A “sideways sculpting” procedure reduces anticipated intraoperative posterior capsular dehiscence.Conclusion: This surgical technique provides nuclear separation and emulsification without exerting traction on the weak posterior capsule.

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