Similar to the way (well not exactly similar) the cataracts are chopped in phaco, hard cataracts such as those belonging to grade 4 and 5 can be safely chopped in the anterior chamber as shown in the video. Then the two pieces can be aligned vertically along the axis of tunnel and safely expressed out through the 6 mm incision.
Bombay Eye Doctor: Chopping Hard Cataract
Dr. Navin Kumar Gupta
http://shankarnetrika.com
Director, Shankar Netrika Medical Retina Specialist Retina Fellow, University of California, Irvine, USA (2008-2010) Research Fellow, Johns Hopkins Hospital, Baltimore, USA (2007-2008) Anterior Segment Fellow, Aravind Eye Hospital, Madurai (2004-2006) Affiliate of SEE International, Santa Barbara, USA Collaborator and Advisor of Phaco Training Program, Anjali Eye Center
