AAO 2018 Video Program
    Cataract/Anterior Segment, IOLs and Implantation, Mature Cataract

    Developing countries have huge backlogs of cataract surgeries, including many with advanced stages of cataracts that are sometimes brown and black. The removal of a hard cataract in its entirety becomes a daunting task unless the regular 6.5-mm manual small-incision cataract surgery (MSICS) incision is enlarged and careful intraoperative manipulations are done. A coexistent weak bag makes the situation even more grim. The miLOOP, with its super elastic, flexible, and retractable nitinol loop, can be used to transect the nucleus completely in a controlled manner, with minimal stress on the capsular bag and the zonules. The miLOOP loosens the cortical material, making irrigation aspiration much easier. It also can be deployed through a relatively small pupil. This video demonstrates the use of miLOOP in cases of hard, mature cataract, brown cataract, traumatic cataract, and cases with weak zonular support, which with practice, can make an otherwise complicated surgery much safer.