Sometimes you need to think differently in order to innovate. In essentially every cataract surgery that I have performed, I have removed the lens nucleus before removing the lens cortex. But can you do it in the other order? Can you first remove the cortex (with the phaco probe) and then remove the nucleus? That could make it so that using the irrigation/aspiration probe is largely unnecessary. Our guest surgeon, Dr Renato Fernandes from Brazil, does exactly this and it makes his surgeries more efficient. I think it is a brilliant idea and I’m curious to try it in my own surgeries to see if I like the technique more than what I currently do. What do you think? Have you tried this? Does this technique have a place in your surgical practice?
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