The invention of the CCC by Gimbel and Neuhan way back in 1979 is the reason why Phaco is so popular today. Phaco would not be possible without CCC, since it is the strength of the bag created by CCC thats allows us to use fluidics and manipulation of the nuclear pieces within the bag. Hence, to achieve a successful phaco every time, it is essential that CCC must be completed in 100% of cases. Cuts / Nicks / Tears in the anterior capsular margins are recipes of disaster as they can anytime extend to the PC during Phaco. This video demonstrates the essential techniques neseccary to ensure that the rhexis is always completed, even when it goes to the periphery. The take home message is that by using the right techniques, the CCC can always be completed in all situations, even if it has gone all the way to zonules. Whatever the situation, it can be revived and must be completed.
Leave a Comment