Bowl and Snail Technique for Soft Cataract

Christopher Liu, FRCOphth, Ahmed Gomaa, FRCS, PhD

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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.

Posted: 2/08/2011

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Name: Bowl and Snail Technique for Soft Cataract
Uploaded: 2011-02-08T17:20:00+00:00

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Bowl and Snail Technique for Soft Cataract

Christopher Liu, FRCOphth, Ahmed Gomaa, FRCS, PhD

Posted: 2/08/2011

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Comments

Joseph Schmitz

8 years ago

A lens this soft can be removed with just I&A...silicone tip on the IA and very little risk of capsular tear or any other problem

dr satish jeria

10 years ago

nice technique...!!!!

nathaniel ruttig

13 years ago

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.

Mehmet Ali Ciftci

13 years ago

I think it's a very unuseful and unnecessary technique!

Richard Foulkes

13 years ago

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.

Rohan Sawant

13 years ago

very good technique for soft cataracts....

Ahmed Abdel Azim

14 years ago

nice technique, eat it any way u can

Mario Zambrano

14 years ago

When are you gonna stop operating cristal clear lenses just for the money!!! Mofos

ari weitzner

14 years ago

i assume this is refractive clear lens extraction, as there is no cataract

mostafa A aziz

14 years ago

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

Naeem Khattak

14 years ago

helpfull technique for softer cataracts.

Brandon Posvar

14 years ago

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.

marcos gomez

14 years ago

nice technique, thanks

Dimitrios Kotsakos

14 years ago

thanks for giving me half of the solution!

Ahmed Gomaa

14 years ago

Good, you do the other half then!

ari weitzner

14 years ago

not bad. i typically hydrodissect the nucleus into the ac for softies.