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A Hydro-Free Subluxated Technique for Nucleus Extraction in Sub Conjunctival Oblique Limbus Incision Cataracts Surgery

Jun Yang, Pinghong Lai, Fang Han, Xin Huang, Yijing Jiang

Nucleus extraction remains a crucial step in Manual Small-Incision Cataract Surgery (MSICS). Here we describe a subluxated nucleus extraction technique without additional hydro-procedures. We demonstrate how a nucleus can be maneuvered safely out of the capsular bag and through the tunnel with a Sinskey hook and simple vectis without hydrodissection or hydrodelineation. This technique is time-tested with good results and more than 95% of nuclei in Sub-Conjunctival Oblique Limbus Incision (SCOLI) are extracted in this way with the benefits of economical usage of viscoelastic, simplified surgical procedure, and minimal damage to the pupil and corneal endothelium and lower cost.