Phaco Chop in the bag with smaller pupils

In many of the prior videos related to smaller pupils, I have emphasized the technique of bringing the nucleus partially out of the capsular bag and then chopping it at the iris plane. This allows the iris and pupil to hold the nucleus and it helps to prevent iris prolapse or damage. It does require a larger 5 to 5.5 mm diameter capsulorhexis, which is often done under the iris without direct visualization of the anterior capsular rim edge.

A keen viewer on CataractCoach has asked me to demonstrate phaco chop within the capsular bag and without prolapsing the nucleus using hydro-dissection. This is certainly a good option and it works well.

Click below to learn the technique of phaco chop in the bag for smaller pupils:

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