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Related Experiment Video

Updated: Dec 25, 2025

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation

Published on: July 7, 2023

Stop and Flip: A Simple and Safe Phacoemulsification Technique.

Mehrdad Mohammadpour¹, Masoud Khorrami-Nejad^1,2

¹Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Clinical Optometry

|March 28, 2020

Summary

This summary is machine-generated.

This study presents a straightforward phacoemulsification technique for managing nuclear fragments in eyes with zonular weakness. The method involves grooving and cracking the nucleus, then emulsifying each hemisphere separately for efficient cataract surgery.

Keywords:

phacoemulsification pseudoexfoliation syndrome

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Area of Science:

Ophthalmology
Surgical Techniques
Cataract Surgery

Background:

Zonular weakening presents challenges in cataract surgery, potentially leading to complications.
Effective nucleus management is crucial for successful outcomes in these cases.

Purpose of the Study:

To introduce a simple, safe, and efficient surgical technique for nucleus management in patients with zonular weakening.
To describe a novel approach to phacoemulsification in uncomplicated cases with compromised zonular support.

Main Methods:

A temporal clear corneal incision (3.2 mm) under topical anesthesia.
Creation of side-port incisions, anterior continuous curvilinear capsulorhexis (5-6 mm), and hydrodissection.
Sculpting an 80-90% deep groove in the nucleus without rotation, followed by cracking into two hemispheres. Phacoemulsification of each hemisphere after manipulation into the iris plane.

Main Results:

The technique allows for controlled nucleus division and removal.
Facilitates efficient phacoemulsification even with significant zonular compromise.
Demonstrates a safe and manageable approach to complex cataract cases.

Conclusions:

This grooving and cracking technique offers a simple, learnable, fast, and safe method for nucleus management in uncomplicated zonular weakening.
It provides an effective alternative for surgeons managing challenging cataract cases.