The patient was prepped and draped in the usual sterile fashion. 0.3 ml of 1% sterile preservative-free lidocaine was injected into the anterior chamber.
A keratome was used to make a superior clear corneal incision. Viscoelastic was injected into the anterior chamber. A continuous curvilinear capsulorrhexis was created.
Paracentesis was performed at the 12:00 o’clock position. The nucleus was hydrodissected with balanced salt solution. Phacoemulsification of the nucleus was carried out,
first sculpting the nucleus and then dividing and cracking it using the phaco tip and a nucleus chopper introduced through the paracentesis site. After removal of all nuclear
material, cortical material was removed with the I & A handpiece. The posterior capsule was polished. Viscoelastic was again injected into the bag and the intraocular lens
inserted. The viscoelastic was then removed using the I & A handpiece.
Balanced salt solution was injected to normalize intraocular pressure. The wound was hydrated and checked and found to be watertight.