Abstract

Phacoemulsification in white mature cataracts is associated with a high rate of intraoperative and postoperative complications, such as incomplete continuous curvilinear capsulorhexis (CCC), radial tears in anterior capsule extending to equator and posterior capsule, rupture of posterior capsule, vitreous loss, nucleus drop, IOL dislocation, corneal burns, persistent post-op corneal edema, and anterior chamber reaction.
CCC is the most critical step of the phacoemulsification surgery. Trypan blue dye facilitates CCC formation, resulting in decrease in intraoperative complications.
In white mature cataracts, the posterior capsule is thinner and more fragile, prone to posterior capsule rupture.
Phacoemulsification of hard nucleus needs higher ultrasonic energy and lasts longer, leading to corneal burns and damage to corneal endothelial cells.
We are demonstrating a technique to reduce complications in white cataract with phacoemulsification.