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The World's Hardest Cataract

  Channels: Cataract Surgery, General | Posted 3/30/2011

A 39-year old male presents with a dense white cataract that began developing after a bicycle accident more than 20 years prior. Trypan blue is used to stain the anterior capsule. Barry Schechter, MD, performed phaco at 100% power (Stellaris, Bausch + Lomb) to break up the dense material. OVD was continuously replaced while the nucleus was disassembled out of the bag. Unexpectedly, calcified lens fragments resisted emulsification and ricocheted off the phaco tip. After manually removing the calcified pieces, a Bausch + Lomb aspheric posterior chamber lens was easily placed in the bag.


Knowledge Without Delay

WILLIAM B. TRATTLER, MD; RICHARD M. AWDEH, MD; AND ELENA ALBÉ, MD

read: CATARACT & REFRACTIVE SURGERY TODAY MAY 2011

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