EyeRounds Photo Quiz #4
Compiled by Justin Risma, MD
Q26: What is the diagnosis and its pathophysiology?
A26: Morgagnian cataract, which is an advanced cortical cataract in which the cortex liquefies and the nucleus is thus freely mobile within the capsular bag.
Q27: What techniques may be useful during surgery?
A27: Trypan - visualization
Two-step rhexis - aspirate liquefied cortex first
Visco-shell - cohesive OVD around nucleus during phaco
Phaco chop instead of divide and conquer