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Phacoemulsification techniques and variations

< 1 min read

Phacoemulsification has several technique variations that surgeons choose based on cataract hardness, eye anatomy, and experience. All aim to remove the cloudy lens safely through a small incision.

Different surgical styles

Surgeons vary how they break up and remove the lens. These differences are usually invisible to patients but matter for efficiency and safety.

  • Divide-and-conquer or chop techniques to split the nucleus into pieces
  • Variations in incision size and position, often in the clear cornea
  • Use of femtosecond laser assistance in some centres
  • Choice of viscoelastic gels to protect the cornea and maintain space

Customising to the patient

Technique is adapted to individual needs. This helps minimise risk and achieve a stable implant position.

  • Softer lenses in younger patients may need less ultrasound energy
  • Complex cases, such as weak zonules, may require support rings or different plans
  • Astigmatism can be reduced with toric lenses or specific incision patterns
  • Discussion before surgery covers lens choices and expected recovery