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Removal of a hypermature Morgagnian cataract and glaucomatous cataracts by phacoemulsification presents a unique challenge. Even if the capsulorhexis is adequately managed, and despite liberal use of viscoelastics, the lack of cortical and epinuclear cushion make fragmentation risky; contact with sharp nuclear edges can lead to an increased chance of posterior capsular tear. Here we show our simple method of safe nucleus phacoemulsification in such cases.
This film was submitted to the 37th Annual ASCRS Film Festival within the 2019 ASCRS ASOA Annual Meeting.