1443: the nucleus just will not rotate

This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite good hydro-dissection. There are no complications in this case, the capsule is intact and the zonular support is good. My solution is to alter my surgical technique and avoid further attempts a nucleus rotation. Instead, I use the chopper to help bring nuclear fragments out of the capsular bag where they can be easily and safely emulsified. There are some great pearls in this case and I’m sure you will find them useful.

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