Featured Article for December 31, 2019
Zero-Min-Spin Technique
Traditional teaching of cataract extraction with phacoemulsification emphasizes the value of turning the nucleus for techniques such as divide and conquer and chopping. The Zero to Minimal Spinning (Zero-Min-Spin) technique in this article highlights an extraction methodology which requires zero to minimal rotation of lens material and can be adapted to various chopping techniques.
Advantages of this technique relate to less iatrogenic zonular stress during lens extraction by phacoemulsification. This is especially relevant in cases with zonulopathy of various etiologies. Less zonular stress may also be beneficial when considering intraocular lens technologies such as accommodating, multifocal and toric lenses where symmetry of the capsular-zonular system may be critical to best function and long term viability.
