Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract

A modified phaco chop technique for nuclear emulsification in posterior polar cataracts with nuclear sclerosis that avoids hydrodissection or nuclear rotation has been described. After performing a vertical chop maneuver to divide the nucleus, two pie-shaped nuclear fragments are removed from either...

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Main Authors: Jeewan S Titiyal, Manpreet Kaur, Sridevi Nair
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2578;epage=2582;aulast=Titiyal
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author Jeewan S Titiyal
Manpreet Kaur
Sridevi Nair
author_facet Jeewan S Titiyal
Manpreet Kaur
Sridevi Nair
author_sort Jeewan S Titiyal
collection DOAJ
description A modified phaco chop technique for nuclear emulsification in posterior polar cataracts with nuclear sclerosis that avoids hydrodissection or nuclear rotation has been described. After performing a vertical chop maneuver to divide the nucleus, two pie-shaped nuclear fragments are removed from either side of the initial chop. The remaining nuclear fragments are then sequentially tumbled toward the center using the second instrument and emulsified while maintaining an intact epinuclear shell, which safeguards the fragile posterior capsule. The technique was successfully performed in 62 eyes of 54 patients with posterior polar cataract and grade II–IV nuclear sclerosis. The Chop and Tumble nucleotomy is a safe and effective technique for phacoemulsification in posterior polar cataracts with nuclear sclerosis, where hydrodissection and nuclear rotation are typically avoided.
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spelling doaj.art-472f0f6da11d4631ae7834018ac060102023-07-21T15:15:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017162578258210.4103/ijo.IJO_2120_22Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataractJeewan S TitiyalManpreet KaurSridevi NairA modified phaco chop technique for nuclear emulsification in posterior polar cataracts with nuclear sclerosis that avoids hydrodissection or nuclear rotation has been described. After performing a vertical chop maneuver to divide the nucleus, two pie-shaped nuclear fragments are removed from either side of the initial chop. The remaining nuclear fragments are then sequentially tumbled toward the center using the second instrument and emulsified while maintaining an intact epinuclear shell, which safeguards the fragile posterior capsule. The technique was successfully performed in 62 eyes of 54 patients with posterior polar cataract and grade II–IV nuclear sclerosis. The Chop and Tumble nucleotomy is a safe and effective technique for phacoemulsification in posterior polar cataracts with nuclear sclerosis, where hydrodissection and nuclear rotation are typically avoided.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2578;epage=2582;aulast=Titiyalcataractchopnucleotomypolarposteriortumble
spellingShingle Jeewan S Titiyal
Manpreet Kaur
Sridevi Nair
Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract
Indian Journal of Ophthalmology
cataract
chop
nucleotomy
polar
posterior
tumble
title Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract
title_full Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract
title_fullStr Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract
title_full_unstemmed Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract
title_short Chop and tumble nucleotomy – A technique for safe nuclear emulsification in posterior polar cataract
title_sort chop and tumble nucleotomy a technique for safe nuclear emulsification in posterior polar cataract
topic cataract
chop
nucleotomy
polar
posterior
tumble
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2578;epage=2582;aulast=Titiyal
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AT manpreetkaur chopandtumblenucleotomyatechniqueforsafenuclearemulsificationinposteriorpolarcataract
AT sridevinair chopandtumblenucleotomyatechniqueforsafenuclearemulsificationinposteriorpolarcataract