Open-Sky Phacoemulsification

In this clinical video, Dr. Rahul Pandit demonstrates how to perform open-sky phacoemulsification, a technique he refers to as "no top combo-chop." The anterior capsule is stained with trypan blue when visualization is limited. A small capsulorhexis is begun, which spontaneously enlarges. Careful regrasping of the edge of the capsulorhexis is required to avoid a radial tear. Combo-chop is performed, followed by phacoemulsification and irrigation of the quadrants from the capsule. After cortical removal, a single-piece PCIOL is gently injected and positioned with 2 instruments into the capsular bag. The corneal graft is then sutured into place.

Reference: Pandit, RT. Combo-chop nuclear disassembly. J Cat Refract Surg 2007; 33(12):2155.

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