A New Method for Nucleus Extraction in Complicated Cataract Surgery

This manuscript introduces a novel method for extracting nuclei in patients undergoing complex phacoemulsification procedures.

We employed a new nuclear extraction technique in 107 cases of posterior capsule rupture, extensive subluxation or dislocated lenses, and extracapsular cataract extraction. The procedure involved creating a large partial-thickness corneal groove, followed by capsulotomy and the placement of a preplaced suture. Subsequently, we converted the corneal groove into a full-thickness incision, lifted the anterior corneal lip using the preplaced suture to expose the anterior chamber, and inserted two 23-gauge needles from opposite directions into the nucleus body for gradual extraction. Patients were monitored for a minimum of six months postoperatively.

We successfully employed this method in 107 nucleus extractions. No complications were observed during the follow-up period of at least six months.

We have developed a safe, simple, and easily learned method for extracting large subluxated nuclei in patients undergoing complex phacoemulsification procedures. This method has the potential to reduce the risk of vitreous loss.