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Updated: Jun 7, 2026
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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Modified technique for epinucleus removal in posterior polar cataract
Somshekar Nagappa1, Sudeep Das, Mathew Kurian
1Narayana Nethralaya, Bangalore, Karnataka, India. omshekar_n2001@rediffmail.com
Summary
This study introduces a new method for removing the sub-incisional epinucleus during cataract surgery. The technique reduces manipulations, significantly lowering the risk of posterior capsular rupture.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Posterior polar cataracts present surgical challenges.
- Managing the epinucleus is crucial for preventing complications.
Purpose of the Study:
- To present a novel technique for sub-incisional epinucleus removal.
- To evaluate the efficacy of this technique in reducing posterior capsular rupture.
Main Methods:
- Aspiration of epinucleus from the quadrant opposite the incision using a phaco probe.
- Hydrodissection to dislodge the remaining sub-incisional epinucleus.
- Subsequent aspiration of the dislodged epinucleus.
Main Results:
- The described technique facilitates efficient epinucleus removal.
- A considerable decrease in the rate of posterior capsular rupture was observed.
Conclusions:
- This novel technique simplifies sub-incisional epinucleus removal.
- Reduced intraoperative manipulations contribute to improved safety outcomes in cataract surgery.
