[Manual phacofragmentation in extracapsular cataract extraction]

The author describes three different techniques of manual phacofragmentation in extracapsular extraction of cataract. Based on the experience with the first 60 operations made by these techniques, the author recommends some principles which should be respected. In the mentioned group only once the posterior capsule was damaged in conjunction with division of the nucleus. When adequate care is not taken or when a poor techniques is used, k. striata occurs more frequently but disappears within one week. The author considers the described technique as a possible and suitable alternative of classical extracapsular extraction of cataract in departments where FAKO is not available.