A new phacoemulsification technique for in-the-bag IOL placement

The standard phacoemulsification procedure includes capsulotomy with an irrigating cystotome and cortical cleanup with an irrigation/aspiration handpiece. While this is an effective technique, it produces ill-defined capsule edges that make in-the-bag placement of the implant difficult. We describe a technique that facilitates identification of capsular flaps by using scissors for the anterior capsulotomy, followed by cortical cleanup with the Gills technique and in-the-bag placement of the implant.