“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract
This report describes two maneuvers in different steps of phaco surgery in a case with hard cataract, which provide debulking of the central dense nucleus and prevents posterior capsule rupture (PCR). In the current case, clear corneal incisions were created, and anterior chamber was filled with oph...
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2019-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2019/9043417 |
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doaj-1898f440257a498bbc03122fd8e6795a2020-11-24T21:44:24ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/90434179043417“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown CataractIbrahim Toprak0Volkan Yaylali1Department of Ophthalmology, Faculty of Medicine, Pamukkale University, Denizli, TurkeyDepartment of Ophthalmology, Faculty of Medicine, Pamukkale University, Denizli, TurkeyThis report describes two maneuvers in different steps of phaco surgery in a case with hard cataract, which provide debulking of the central dense nucleus and prevents posterior capsule rupture (PCR). In the current case, clear corneal incisions were created, and anterior chamber was filled with ophthalmic viscosurgical device (OVD). Anterior capsule was punctured, and capsulorhexis was completed. Nucleus was cracked into two halves following vertical groove formation. Core nucleus was hollowed sideward bilaterally in the capsular bag. Nuclear halves were removed from capsular bag, and each one was pushed to one side on the iris plane. Capsular bag was inflated with OVD, and intraocular lens (IOL) was implanted. Nuclear halves were removed in confidence. The presented maneuvers initially reduce dense nucleus load in the safe zone and allow surgeon to use IOL as a barrier to protect floppy posterior capsule from early steps of the surgery.http://dx.doi.org/10.1155/2019/9043417 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ibrahim Toprak Volkan Yaylali |
spellingShingle |
Ibrahim Toprak Volkan Yaylali “Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract Case Reports in Medicine |
author_facet |
Ibrahim Toprak Volkan Yaylali |
author_sort |
Ibrahim Toprak |
title |
“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract |
title_short |
“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract |
title_full |
“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract |
title_fullStr |
“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract |
title_full_unstemmed |
“Crack, Reduce, and Implant”: A Safe Phaco Technique in a Case with Hard Brown Cataract |
title_sort |
“crack, reduce, and implant”: a safe phaco technique in a case with hard brown cataract |
publisher |
Hindawi Limited |
series |
Case Reports in Medicine |
issn |
1687-9627 1687-9635 |
publishDate |
2019-01-01 |
description |
This report describes two maneuvers in different steps of phaco surgery in a case with hard cataract, which provide debulking of the central dense nucleus and prevents posterior capsule rupture (PCR). In the current case, clear corneal incisions were created, and anterior chamber was filled with ophthalmic viscosurgical device (OVD). Anterior capsule was punctured, and capsulorhexis was completed. Nucleus was cracked into two halves following vertical groove formation. Core nucleus was hollowed sideward bilaterally in the capsular bag. Nuclear halves were removed from capsular bag, and each one was pushed to one side on the iris plane. Capsular bag was inflated with OVD, and intraocular lens (IOL) was implanted. Nuclear halves were removed in confidence. The presented maneuvers initially reduce dense nucleus load in the safe zone and allow surgeon to use IOL as a barrier to protect floppy posterior capsule from early steps of the surgery. |
url |
http://dx.doi.org/10.1155/2019/9043417 |
work_keys_str_mv |
AT ibrahimtoprak crackreduceandimplantasafephacotechniqueinacasewithhardbrowncataract AT volkanyaylali crackreduceandimplantasafephacotechniqueinacasewithhardbrowncataract |
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