This is a tough case and when you see the microscope lights turned up but still no red reflex, you know that this brunescent cataract is going to be dense. It is very dense and fibrous and splitting it is not easy. Our guest surgeon goes a great job with this tough case and uses the stop-and-chop technique for the initial separation of the nucleus into halves. The viscoelastic is also used multiple times during the surgery to recoat the corneal endothelium to protect it from the high degree of ultrasonic energy.
