IC0273 : Learn from the Masters: While Chopping, When The Cataract Doesn’t Crack, What To Do?

Abstract

Current clinical practice presents a comparatively younger population who has an inclination towards earlier surgeries and premium IOLs. With an increase in surgical experience, with reputation often at stake, surgeons incline towards safer surgery with due consideration to endothelium and posterior capsule avoiding aggressive chopping. After a good rhexis, nucleus cracking becomes the cornerstone of a successful case. In unprecedented scenarios, the nucleus doesn’t crack even in experienced hands. Desperation to crack can often worsen the scenario, leading to complications. How to handle this and come out smoothly? This IC will be 100% video based where various experienced surgeons will show their practical situations & how they managed it. What to do in non-cracking soft, hard, hypermature, and Posterior polar cataracts and also when unable to get a crack in stop n chop and direct chop, then how to proceed, will be showcased. Vital pearls & tips for perfect outcome will be discussed.

1 My way of dealing a soft cataract when it’s not cracking. Dr.Naren Shetty (S17536)

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2 When I am not able to crack the Posterior plate of a hard cataract – what do I do? Dr.Minu M. Mathen (M08325)

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3 In my Direct chop I am struggling and not able to get a good crack – so how do I deal with it? Dr.Krishna Prasad Kudlu (K10333)

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4 In my Stop chop technique I was not able to get a good Crack – so how do I deal with it? Dr.Amit Porwal (P09569)

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5 In Posterior Polar Cataract when I am not supposed to rotate, How do I deal / crack? Dr.J. S. Titiyal (T06991)

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6 How do I deal a rotating nucleus of a Hyper mature Cataract when I am not able to crack. Dr.Haripriya Aravind (H09250)

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7 When my rhexis has extended or torn and I am not able to get a good crack – How do I deal with it? Dr.Sudeep Das (S06581)

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