Eccentric capsulorhexis and bidirectional endocapsular phacoemulsification

The advantages of continuous circular capsulorhexis and endocapsular (endolenticular, posterior chamber, in situ) phacoemulsification are well recognized. Perhaps the only disadvantage of the phacoemulsification technique is the increased operative time. This report presents a new method for endocapsular phacoemulsification which includes a superiorly decentered circular or oval capsulorhexis and more rapid endocapsular phacoemulsification using a combination of one- and two-handed techniques. The procedure may also be safer since most of the phacoemulsification is performed within the central "safe zone" of the posterior chamber.