Prof. Dr. Shalini Kumari

Abstract

Phacoemulsification surgery done for Posterior Polar Cataracts is one of the most-risky surgery
This video shares basic tips for the same
5.5 mm is the ideal size for capsulorhexis
In event of a posterior capsular rent (PCR), this size is helpful in retaining an in-sulcus 3-piece implant
Hydrodelineation instead of hydrodissection is the key
It safeguards from PCR and also leaves behind a protective epinuclear shell
Low parameters for direct chop method for nucleotomy is safe
Injecting viscoelastic before removal of phaco-probe is a must to prevent chamber fluctuation and subsequent risk of PCR
Visco-dissection of remaining cortex ensures safety and minimizes any risk of PCR at the site of posterior polar plaque
Irrigation and aspiration to aspirate posterior polar plaque is done at the end, so that even if a PCR occurs, all cortical matter is already aspirated
Gentle insertion of IOL is done
Vitrectomy machine should always be kept ready in case a PCR occurs