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Henry Smith, MRCOphth; Neslon Sabrosa, MD, PHD; Niall Patton, MD, FRCOphth; and Robert Maclaren, DPhil, FRCOphth developed a technique for fluid-gas exchange and phacoemulsification following macular hole surgery. The technique is designed to use minimal equipment other than what is required for standard phacoemulsification and to require little or no specialist vitreoretinal expertise.