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SYMPOSIUM
Year : 2009  |  Volume : 57  |  Issue : 1  |  Page : 23-25

Nucleus management with Blumenthal technique: Anterior chamber maintainer


1 Safdarjung Hospital, Vardhman Mahavir Medical College, New Delhi, India
2 Guru Nanak Eye Center, Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Ruchi Goel
513/514, First Floor, Double Storey, New Rajinder Nagar, New Delhi-110 060
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.43047

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The Blumenthal`s 'Mininuc' technique enables nuclear expression through a 5-6.5-mm sclerocorneal tunnel incision using a Sheet's lens glide and anterior chamber maintainer (ACM). A 6-mm or larger capsulorrhexis, reduction in nuclear size by hydroprocedure and its manipulation manually into the anterior chamber are performed. The nucleus is expressed out of the chamber by use of hydrostatic pressure created by balanced salt solution delivered continuously through the ACM. This continuous flow from ACM to anterior chamber keeps the eye under positive pressure physiological state besides clearing the chamber of cortex, blood and pigments offering excellent visualization. The procedure, with an initial learning curve, is highly effective, applicable to all grades of cataracts, has minimum intraocular instrumentation resulting in an early rehabilitation of the patient.


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