•   
    Editors' Choice
    03:39
    Cataract/Anterior Segment, IOLs and Implantation, Mature Cataract

    In patients with hypermature morgagnian cataract, the liquified cortex creates a hypermobile nuclues that is difficult to chop. If the posterior capsule is fibrotic, then its inelastic nature can cause a rent if the nucleus is vertically flipped during chopping. To avoid this difficult scenario, Dr. Ashish Sapkal preimplants the IOL prior to performing phaco chopping maneuvers. The resulting procedure is technically much safer than the conventional technique of waiting to implant the IOL after phacoemulsification. The preimplantation technique differs from the IOL scaffold technique, which is used when there is a rent in the posterior capsule.

    Relevant Financial Disclosures: None