Channels: Cataract Surgery | Posted 3/15/2011
Management of a posterior polar cataract can be challenging, especially when combined with a zonular dialysis. After making a CCC under a generous amount of OVD, Robert Cionni, MD, carefully bowls out the central portion of the nucleus. If the instruments are placed deep within the groove, only a small amount of pressure is needed to crack the nucleus in half. OVD is used to as a temporary expander during phaco when the periphery of the bag begins to collapse. After lens material is successfully removed with no capsule tears, a CTR is inserted in the bag prior to IOL injection.