180-Degree Nuclear Flip: A Safety and Efficacy Assessment of a Phacoemulsification Technique for Cataract Nuclei of Grade III and Below.
180° nuclear flip technique shortens total phacoemulsification time in cataract surgery.
180-Degree Nuclear Flip: A Safety and Efficacy Assessment of a Phacoemulsification Technique for Cataract Nuclei of Grade III and Below.
This prospective randomized controlled trial aims to evaluate the effectiveness and safety of a 180° nuclear flip technique in phacoemulsification cataract surgery, comparing it with the traditional endocapsular approach for cataracts of Emery-Little grade III and below.
This prospective randomized controlled trial aims to evaluate the effectiveness and safety of a 180° nuclear flip technique in phacoemulsification cataract surgery, comparing it with the traditional endocapsular approach for cataracts of Emery-Little grade III and below.
A total of 142 patients were randomly assigned to either the 180° nuclear flip group (n = 71) or the conventional endocapsular phacoemulsification group (n = 71).
average total time to remove the cataract lens using the flip method - shorter is better
There were no posterior capsule rupture cases in the flip group, whereas there was one case (1.4%) in the traditional group.
At 28 days postoperatively, the mean endothelial cell loss rate of the flip group (3.7%) was lower than that of the conventional group (4.9%), although this difference did not reach statistical significance.
The 180° nuclear flip technique is a safe, efficient, and effective method for managing cataracts of grade III hardness and below.
It may help reduce the risk of complications, improves intraoperative stability by creating a more spacious operating field, and significantly reduces phacoemulsification time. Video available for this article.