I simply groove the nucleus to a depth just above the posterior capsule and using the instrument ensures that I split the nucleus evenly and cleanly. It didn’t fail in the numerous tries I have done it. I then rotate the cataract 90 degrees for a second split. I no longer need to use a second incision or instrument to chop as this works well already even without a phaco chopper. The implication is that I can lessen the theoretical surgically induced astigmatism by marking do without another incision.
Dr. Vicente Santos
Vitreo-retinal Surgeon
President
Fatima University Medical Center
Philippines
The flap can be moved with sufficient force and easily
be lifted to facilitate the laser ablation. In instances where the flap is sticky, I
can use the forcep to lift the part of the flap that is mobile and with a second
blunt dissector release adhesions to carefully separate the cap. I do this with
confidence knowing I wouldn’t tear or macerate the flap and clear it for the final
laser ablation.
Dr. Vicente Santos
Vitreo-retinal Surgeon
President
Fatima University Medical Center
Philippines