ABSTRACT

Since Kelman1-8 first introduced phacoemulsification improvements have been made not only with the instruments9-11 but in the technique also.12-21 Phacoemulsification is now the preferred choice of surgery for all types of cataracts, even the ones previously considered to be pure extracapsular cataract extraction cases (ECCE). Divide and conquer20 is still the favored technique for most of the phaco surgeons, as it is quite comfortable to perform if the cataract is straightforward, but becomes much more difficult with complicated cases as in weak zonules and small pupils. With the introduction of David Brown’s,23 Phaco Flip and Jack Kearney’s, Supracapsular Technique, phacoemulsification entered into a new era. William F Maloney’s,24-28 contribution to this technique has been remarkable.