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Hypermature cataracts with tense anterior capsule is challenging on adequate size capsulorrhexis before the phacoemulcification.
This video will demonstrate how to make small central capsulorrhexis first and the way to reduce the intralenticular pressure by aspirating the contents with aspiration probe or with phaco hand piece and how it leads to successful secondary anterior capsulorrhexis to facilitate the phacoemulcification.
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This film was submitted to the 36th Annual ASCRS Film Festival within the 2018 ASCRS ASOA Annual Meeting.