Management of the Soft Nucleus
13 Management of the Soft Nucleus William J. Fishkind The human crystalline lens is a unique structure. It is a cellular structure that loses its innervation and vascularity during fetal development….
Stop-and-Chop Phacoemulsification
9 Stop-and-Chop Phacoemulsification Paul S. Koch Technique Overview The stop-and-chop phacoemulsification technique entails several simple steps and is a very efficient method for emulsifying the nucleus of any density. Thorough hydrodissection…
Vacuum Hemi-Flip Phacoemulsification
10 Vacuum Hemi-Flip Phacoemulsification R. Bruce Wallace III Background Over 30 years ago, surgeons like myself were excited about the evolution of the anterior capsulotomy from the can-opener capsulotomy to the…
Strategies for Weak Zonules
25 Strategies for Weak Zonules David F. Chang Weak zonules complicate every step of the cataract procedure and challenge surgeons to anticipate, recognize, and manage intraoperative zonulopathy.1–9 If the capsular…
Dense Brunescent Cataract
15 Dense Brunescent Cataract Stephen S. Lane Phacoemulsification of the extremely dense cataract poses challenges for even the most experienced cataract surgeon. The absence of a protective epinuclear layer, the paucity…
Small Pupil Recognition and Management
4 Small Pupil Recognition and Management Fani Segev, Yokrat Ton, and Ehud I. Assia The prevalence of visual impairment secondary to cataract increases with age and is expected to grow dramatically…
