Posterior polar cataract is always a challenging case, as the risk of the opening of the preexisting weak posterior capsule is high. Different methods are used to avoid premature opening of the capsule. Care is taken to avoid hydrodissection, nucleus rotation, sudden collapse, or deepening of the anterior chamber. In the softer grade of cataract, layer-by-layer removal of the nucleus is done. But Cataracts with the higher nuclear grade, nucleus division is needed. As the rotation of the nucleus can split open the Posterior capsule, the division has to be done without rotation. Keeping lower IOP throughout the surgery helps in reducing the chances of the opening of the posterior capsule. In this video, the author describes the Novel method of Sideways sculpting to divide harder grade nuclei without the need for nucleus rotation.
Leave a Comment