A dense cataract is more challenging because of the difficulty in breaking it into smaller pieces (nucleo-fractis) and the increased ultrasonic energy that is required to emulsify it. Our guest surgeon is at the beginning of a long career and attempts this tough cataract surgery for case number 350. As you can see in the title picture, the chop technique worked well and this case proceeds beautifully. There are still some things that could use improvement and we welcome comments from all viewers in this regards. Please comment below.
