Morgagnian Cataract Phaco Emulsification
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Uploaded by DRSMBHATTI on Oct 11, 2011
Morgagnian Cataract: In some patients after maturity the whole cortex liquefies and the lens is converted into a bag of milky fluid. The hard brown nucleus settles at the bottom altering its position with change in position of the head. Sometimes anterior capsular calcification as may be seen in this video.
Due to the absence of a good glow in these hypermature cataracts it is always advisable to stain the anterior capsule with trypan blue dye as it facilitates achieving a good CCC.
During surgery just prior to CCC it is prudent to decompress the lens by passing a 26 G needle through the side port and piercing the anterior capsule enter into the sub-capsular space and aspirate the liquefied milky cortex into a 2cc syringe. Once decompression has been done it is much easier to perform the CCC both because of the decreased tendency for the rhexis to run out and better visibility.
While doing phacoemulsification it should be noted that there is no protective cushion of cortical matter and the phaco energy is directly transmitted to the capsule. Hence phaco should be done carefully with this factor in mind.
Calcification of the capsule whenever present can hinder CCC and also will give an unpolished look after the surgery.
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I suggest that you can change a new forceps.
the angle of forceps is close to a right angle, so that the fingers showed in field of view. maybe a larger angle forceps could be better.
doctorxzh 4 months ago