Bowl and Snail Technique for Soft Cataract
by Ahmed Gomaa, FRCS, PhD, Christopher Liu, FRCOphth
Ahmed Gomaa, FRCS, PhD; and Christopher Liu, FRCOphth, present an endocapsular approach that reduces stress on the zonules. The new technique, called the bowl-and-snail, can be easily adopted for safe and effective removal of soft cataract. In this technique, the surgeons sculpt a central bowl, followed by delivery and removal of the residual nuclear rim. The technique is similar to the process of eating escargot—hence the name.
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Comments (14)
Used this technique in a 47 y.o. with PSC cataract and an otherwise clear lens. BCVA of 20/100. This technique worked well, but I switched to epinucleus setting from the beginning and used visco-levitation to lift the edge to be on the safe side. Only time actual phaco engaged was with the intelli-phaco action and C.D.E. was 0.14 at the end of the case. Thank you for this case- oftentimes you cannot split/chop a very soft lens and attempting to do so is very risky as just the high vacuum required in chopping can just eat right through the lens as they are just about the consistency of chilled maple syrup.
I think it's a very unuseful and unnecessary technique!
very good technique for soft cataracts....
Too much manipulation. Place a pit under the incision. Chop and split. Aspirate left. aspirate right. Done. Protect the tip by maintaining the chopper below.
nice technique, eat it any way u can
i assume this is refractive clear lens extraction, as there is no cataract
When are you gonna stop operating cristal clear lenses just for the money!!! Mofos
thank you very much,a nice technique,I think secret of success is complete hydrodissection,the very short tip as shown in the video,low power in bowl cavitation and phaco III parameters in epinucleus aspiration,thanks a lot
helpfull technique for softer cataracts.
what are you settings for this technique? Thanks. I might use this if divide and conquer fails and/or I can't prolapse the lens into the A/C for some reason.
not bad. i typically hydrodissect the nucleus into the ac for softies.
Good, you do the other half then!
thanks for giving me half of the solution!
nice technique, thanks