Articles: PDF OnlyNucleus fragmentation in a scleral pocket for small incision extracapsular cataract extractionBartov, Elisha MDa; Isakov, Itzhak MD; Rock, Tali MDAuthor Information From the Department of Ophthalmology, The Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Holon, Israel. aReprint requests to Elisha Bartov, MD, Chairman, Department of Ophthalmology, The Edith Wolfson Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Holon 58100, Israel. Journal of Cataract & Refractive Surgery: February 1998 - Volume 24 - Issue 2 - p 160-165 doi: 10.1016/S0886-3350(98)80195-8 Free Metrics Abstract We present a technique for planned manual extracapsular cataract extraction (ECCE) incorporating a modification of mini-nuc ECCE in which the scleral tunnel is made wide enough to allow a nucleus of any size to settle in the tunnel. A 5.0 mm, inverted chevron incision is used in which the exposed part of the nucleus lodged in the scleral pocket can be manually picked and fragmented until it is small enough to be removed through the incision. The chevron incision is flexible enough to allow a, medium-sized nucleus to be extracted without fragmentation and implantation of a rigid 6.0 mm poly(methyl methacrylate) lens. Vector analysis of preoperative and 3 month postoperative keratometric results in 30 patients showed that the surgically induced vector was 0.54 diopter (D) ± 0.58 (SD). Mean reduction in astigmatism was 0.08 ± 0.39 D. The sutureless technique is fast and safe, allows a nucleus of any size to be extracted through a constant size 5.0 mm incision, and results in minimal postoperative astigmatism. © Williams & Wilkins 1998. All Rights Reserved.