Divide-and-Conquer Technique and Complications
8 Divide-and-Conquer Technique and Complications Thomas D. Bailey and James C. Loden The term divide and conquer was first used to describe a technique for removal of the cataractous lens nucleus…
Intraocular Lens Exchange with an Open Posterior Capsule
31 Intraocular Lens Exchange with an Open Posterior Capsule Marc A. Michelson An intraocular lens (IOL) exchange can be challenging enough with an intact capsular bag, but an IOL exchange in…
Phaco Prechop Procedure
12 Phaco Prechop Procedure Arthur J. Weinstein The phaco prechop procedure is a very effective way to dismantle the nucleus prior to removal. Prechopping is utilized to achieve a split of…
Conversion to Extracapsular Cataract Extraction
18 Conversion to Extracapsular Cataract Extraction Anya Gushchin, Sanduk Ruit, and Geoffrey Tabin Planned extracapsular cataract extraction (ECCE) is a technique that involves removal of an intact crystalline lens from the…
Postvitrectomy Considerations in Phacoemulsification
21 Postvitrectomy Considerations in Phacoemulsification Alan S. Crandall, Hari Bodhireddy, Hreem N. Patel, and Kristin Ow Chapman Pars plana vitrectomy (PPV) was first introduced by Machemer et al1 in 1971, and…
Avoiding Unexpected Outcomes with Toric Intraocular Lenses
44 Avoiding Unexpected Outcomes with Toric Intraocular Lenses Graham D. Barrett Our ability to provide excellent unaided acuity after cataract surgery improved dramatically with the introduction of toric intraocular lenses (IOLs)….
Wound Construction and Complications
3 Wound Construction and Complications Patricia Ann Ple-plakon, William J. Fishkind, and Mitchell P. Weikert As incisions in cataract surgery have evolved alongside improvements in intraocular lens (IOL) design, phacoemulsification systems,…
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…
