4-Minute Phaco™ can be safely adapted for complex cataract cases, including dense nuclear cataracts, shallow anterior chambers, and eyes with pre-existing conditions. The technique’s emphasis on chamber stability and controlled energy delivery makes it well suited to challenging surgical scenarios.
Types of Complex Cases
Certain eyes present greater surgical difficulty due to anatomical or pathological factors. These include:
- Dense or brunescent cataracts requiring higher phaco energy
- Shallow anterior chambers with limited working space
- Patients with nystagmus, high myopia, or zonular weakness
In these cases, the standardised workflow of 4-Minute Phaco™ helps maintain control and reduce intraoperative complications.
Fuchs’ Endothelial Dystrophy
Patients with Fuchs’ dystrophy have compromised corneal endothelial cells. Minimising ultrasound time and fluid turbulence is essential to protect remaining cells. The efficiency of 4-Minute Phaco™ reduces cumulative corneal stress, supporting better post-operative clarity. For more detail, see Cataract Surgery in Patients with Fuchs’ Endothelial Dystrophy.
Why Experience Matters
Complex cases benefit most from surgeons with high-volume experience and refined technique. Pattern recognition developed over thousands of procedures allows the surgeon to anticipate challenges and adapt without hesitation. This combination of preparation and skill underpins the safety of 4-Minute Phaco™ in difficult eyes.
