This patient has a 4+ nuclear sclerotic cataract which we would classify as dense. Fortunately, it is not quite at the brunescent stage where the nucleus becomes almost rock hard, but it is certainly a higher density than our typical case. In this case, we want to chop the nucleus in the capsular bag and this has the advantage of being farther away from the corneal endothelium so there is less potential for iatrogenic endothelial cell loss.
There are some important considerations and subtleties which are explained in the video and learning these will ensure a better surgical outcome for your patient. The entire video is shown start to finish to maximize the learning at every stage.
Click to learn from this complete cataract video of a dense cataract chopped in the bag:
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