Dr. ANJALI KHADIA

Dr. Isha Gupta, Dr.Fredrick Mouttapa

Abstract

Hard cataract capsules are thin and fragile. Hydro-procedures will dangerously inflate the fragile capsular bag and thus hydro-prolapse of nucleus is better avoided in these cases. The rotational forces used to completely prolapse the nucleus are known to further damage the pre-existing zonular weakness. Thus to circumvent these issues we propose this novel technique. Here the hard nucleus is gently freed from surrounding lens matter and one pole is lifted out of capsular opening using a translational movement with 26G needle cystitome as hook . Nucleus is then re-hooked in central substance and completely prolapsed like a button into the anterior chamber. Our video demonstrates this technique and elaborates on its advantages and limitations.