The periphery of the cataract is under less pressure as it is flat. First make a small round capsulotomy in the periphery. Through this hole aspirate most of the cortical matter that is causing tension in the capsule. Then nick this small opening and extend with capsulotomy forceps and make a standard capsulotomy. Then proceed to do standard phakoemulsification. That is a nice contribution of Dr Kiranjit Singh from Dr Daljit Singh Hospital, Amritsar,India.
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