
In this case, there was a dense central endo-nucleus that seemed somewhat resistant to chopping. When I chopped the nucleus, the central, round endo-nucleus stayed intact while the outer nucleus was split and then emulsified. This was an interesting case because I ended up removing the outer nucleus first and then attacking the dense central endo-nucleus. While a case like this happens rarely, with the high volume of surgery that you are doing (or planning to do in the future), you will certainly encounter this situation. Click below to learn how I managed this case.