By adjusting the phaco tip position and with appropriate fluidic settings, we can make the nucleus spin round and round while the phaco carousel technique allows for efficient aspiration. This video shows the technique in action and it’s a good option for a relatively soft nucleus. Note that you will need to understand placement of the phaco tip (and adjustment of the phaco sleeve) in addition to choosing the right fluidic parameters to make this technique efficient. The details are explained in the video. Have you tried this technique?
Before the primary incision is made the surgeon creates perhaps a 3 mm incision in the conjunctiva and then enters in that location slightly posterior to the limbus. This appears to have the dual purpose of allowing a more posterior incision along with avoiding conjunctival chemosis by allowing fluid to escape rather than being pushed under the conjunctiva. Is that correct?
If correct , if a surgeon prefers a more anterior incision than shown in this video (anterior to the limbus or clear corneal), would it be helpful to do a very superficial ~3 mm incision parallel to the limbus, slightly posterior or in the same location? Thus having the potential to act as a prophylaxis to prevent chemosis from occurring during Phacoemulsification or IA.