Removal of Dense Brunescent Cataract

by Richard J. Mackool, M.D.

Removal of an extremely dense, maximally opaque brunescent nuclear cataract highlights this case. Dr Mackool uses Trypan Blue to stain the anterior capsule and a Beehler Pupil Dilator to stretch the poorly dilated pupil. The microscope view is augmented by a 2nd camera showing Dr Mackool’s hand position throughout most of the case.

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©2014 Dr. Richard J. Mackool, MD

The machine settings, parameters, and techniques shown in these videos have been established by the surgeon.



Dr Richard Mackool is an internationally recognized expert in the field of ocular microsurgery. He is an inventor of numerous instruments and techniques for cataract removal and IOL designs, has published hundreds of papers and several textbooks, lectured throughout the world, and surgeons from every continent have travelled to New York to attend courses conducted by him. He has performed more than 50,000 ophthalmic procedures, specializing in cataract-implant surgery, corneal refractive and transplant surgery, and vitreous microsurgery. His widely-read monthly column, PhacoTips℠, appeared in Ocular Surgery News for 20 years.