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GOOD END RESULT. BUT WAS IT THAT HARD?

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Great case! Shows how much phaco can do in the right hands!

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ECCE was considered, but as mentioned, the patient wished to return to physical activity as soon as possible and phaco was agreed upon. As to the background music, it matched the patient's upbeat attitude and hopefulness of a positive result which he did not get from his ophthalmologist in Haiti.

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I thought this was a great case! Thanks for sharing. Very interesting about the residual calcified lens material.

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extracapsular

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I would like to commend Dr Schechter for sharing video of his surgical case that helps reminding all of us how post-traumatic white cataracts do develop an extremely dense nucleous, “masked” underneath a dense white coat, if left there for decades. In the case shown, Dr Schechter's choice of dislocating the lens in the AC is reasonable. The choice of employing phacoemulsification technique instead of ECCE procedure also brings unquestionable advantages. My only concerns regard the phaco-technique adopted: if it true that it’s always best to use technique and instruments we are mostly familial with, horizontal phaco-chop technique would have reduced the amount of energy dispersed in the eye. Gianluca Carifi, MD

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I very much agree with Nick that this is the "Hardest" cataract only in Florida. We in the thirdworld see this kind of Cataracts quite regularly. In my opinion the use of Phaco energy in this case was a kind of over kill and an Planned ECCE from the very begining should have been considered.

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Nice Surgery! Small incision ECCE, as practiced in India and other areas of the world where this type of cataract is the rule, rather than the exception, may have been easier. Unfortunately, this is a lost art in the US, as most residents as trained now have never even SEEN an ECCE, let alone done one.

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