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. 2009 Jan-Feb;57(1):41-3.
doi: 10.4103/0301-4738.44509.

Nucleus management in manual small incision cataract surgery by phacosection

M S Ravindra  1
Affiliations

Nucleus management in manual small incision cataract surgery by phacosection

M S Ravindra. Indian J Ophthalmol. 2009 Jan-Feb.

Abstract

Nucleus management is critical in manual small incision cataract surgery (MSICS), as the integrity of the tunnel, endothelium and posterior capsule needs to be respected. Several techniques of nucleus management are in vogue, depending upon the specific technique of MSICS. Nucleus can be removed in toto or bisected or trisected into smaller segments. The pressure in the eye can be maintained at the desired level with the use of an anterior chamber maintainer or kept at atmospheric levels. In MSICS, unlike phacoemulsification, there is no need to limit the size of the tunnel or restrain the size of capsulorrhexis. Large well-structured tunnels and larger capsulorrhexis provide better control on the surgical maneuvers. Safety and simplicity of MSICS has made it extremely popular. The purpose of this article is to describe nucleus management by phacosection in MSICS.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Bimanual rotation of the nucleus
Figure 2
Figure 2
Bimanuel rotation of nucleus through a smaller rhexis
Figure 3
Figure 3
Bisection of the nucleus
Figure 4
Figure 4
Visco-sandwich-expression of the second half of the nucleus
See this image and copyright information in PMC

References

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MeSH terms