This is a complete cataract case shown start to finish with me operating. You can see all of these cases where I am the surgeon and the video is unedited here:
https://cataractcoach.com/category/complete-cases
Supracapsular phacoemulsification is advantageous in eyes with high axial myopia because it minimizes stress on fragile zonules and a deep, enlarged capsular bag. Plus remember that these eyes have a very deep anterior chamber so there is plenty of room. Performing emulsification above the capsule keeps ultrasound energy away from the posterior capsule, reducing the risk of capsular rupture and vitreous loss. The technique allows better chamber stability in very deep anterior chambers, improves nuclear control, and enhances followability of lens fragments. It also largely decreases LIDRS (lens-iris diaphragm retro-pulsion syndrome). Reduced intra-capsular manipulation lowers zonular dialysis risk, while efficient energy dissipation helps protect the corneal endothelium. Overall, supracapsular phaco offers a safer, controlled approach in myopic eyes with predictable outcomes and improved surgical confidence overall.
