Small, crowded eyes tend to make phacoemulsification challenging.
Short axial length coupled with a crowded anterior chamber angle and increased vitreous pressure is a surgeon’s nightmare. Performing a capsulorrhexis in such eyes is a difficult proposition as the tendency for the capsule margin to run out is immensely high. Debulking the vitreous and cutting off the posterior bulge can save the extra miles that a surgeon might need to traverse to reach a desirable ending to the surgical scenario.
A preoperative measure that a surgeon can take to handle this (Read more...)