Our Approach to Phacoemulsification

We describe our technique such that allows the trainee and the expert surgeon to perform phacoemulsification in the posterior plane. The major concerns during surgery are to reduce damage to endothelial cells and to uveal tissue, to maintain the integrity of the posterior capsule and to prevent post-operative posterior segment complications that could be inflicted either by ultrasound energy dissipation or mechanical damage with the instruments. We describe intraoperative paradigms to facilitate phacoemulsification in the posterior plane and their rationale during emulsification of uncomplicated age-related cataracts. This technique is reproducible even in the hands of novice surgeons, as well as by veterans for emulsifying dense nuclear sclerosis, mature, hypermature, traumatic and complicated cataracts or cataracts in adverse environments such as small pupil, pseudoexfoliation, and subluxated cataracts. A modification of preset phaco parameters ensures least turbulence in anterior chamber.