HORIZONTAL PHACOCHOP IN DENSE BRUNESCENT CATARACT WITH SECUNDARY ZONULAR DIALYSIS FIXED WITH CAPSULAR TENSION RING AND PARS PLANA ANTERIOR VITRECTOMY WITH MONOFOCAL IOL IN THE BAG.

81 year old patient nAMD of recent diagnosis in OD with decreased BCVA to 0.2. OS had previously been diagnosed 25 years ago in another center with retinal artery occlusion. BCVA in OS of light perception. OS ultrasonography no signs of gross anatomical alterations. MICS was taken into consideration but because of expertise with phacoemulsification technique of the senior attending phaco and 1piece monofocal IOL was planned

Surgical video shows use of multiple techniques for residents and young ophthalmologists for brunescent cataract, like vision blue dyeing , needle aspiration of liquated nucleus, horizontal stop and chop and secondary zonular dialysis and application of capsular tension ring, anterior vitrectomy via pars plana

An episode of high intraocular pressure without AC stability as a complication of aqueous misdirection. BCVA 1month PostOp, 0.5 Identifying all this complications and ways to do it better the next time makes this a very educational video for to learn