New Whole Nucleus Chop Technique To Prevent Posterior Capsular Rupture

To avoid posterior capsular rupture in any case, the main objective was to introduce a simple and effective technique of phacoemulsification both for beginners and competent surgeons

Many techniques and workings have been introduced and this one technique with few modification in steps of phacoemulsification brought a revolutionized change in our setup with good patient and ophthalmologist's satisfaction.

A prospective study with sample size of 1000 patients to introduce the benefits of whole nucleus chop in all types and stages of cataract including posterior subcapsular cataract(240cases),nuclear sclerosis grade3(700cases), and mature cataracts(60cases) with age between 50-85years(950cases) and 35-59 years(50cases) were operated.Exclusion only was subluxated crystalline lens.Modifications include hydrodissection,viscodissection to bring nucleus partially above the continuous curvilinear capsulorrhexis margin with size of 6mm followed by bringing and chopping the nucleus in space between iris and anterior chamber not making it into pieces and emulsifying it directly with less use of second instrument.Nucleus division is not entertained here

There is very less chance of posterior capsular rupture in this technique if there would be any then the nucleus can be revived through extending the incision and there is quite less chance of it to be dropped posteriorly.Regrding endothelial safety,few measures were taken and the results were good with immediately clear cornea the next day of surgery and mark vision improvement.

No intraoperative complication such as iris injury,anterior capsular tear,zonulysis or vitreous loss occured during surgeries.Most patients had 6/9-6/18 vision depending upon other underlying conditions of retina.