Hard Cataracts present with varied challenges for the phaco surgeon. 1)Difficutly in nuclear dividison, 2) higher incidence of capsulo zonular complications 3) Endothelial damage 4)Wound burns. This video demonstrates the step by step approach to tackle these challenges to ensure excellent outcomes. The prominent principles highlighted in this video are 1) Using appropriate Phaco energy and technique to divide the nucleus 2) Strategy to minimise lens chatter and turbulence 3)Posterior Plane of emulsification 4)Appropriate use of OVDS 5)patience For more educational videos please visit
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