Evidence map›Paper›PMID 42231217›Full record

ArticleBMC ophthalmology2026

Phaco tip-chopper flip technique for epinucleus removal in cataract surgery.

Wenjia Xie, Tian Tian, Luyi Ying

Abstract read
In one paragraph

Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Wenjia XieDepartment of Ophthalmology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China. 3315009@zju.edu.cn.ORCID http://orcid.org/0009-0008-7596-3545
Tian TianDepartment of Ophthalmology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID http://orcid.org/0000-0003-4161-2129
Luyi YingDepartment of Ophthalmology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID http://orcid.org/0000-0001-5490-2198

Funding

2025 Key Research Projects for Medical Education of the Chinese Society of Medical Education and the National Center for Health Professions Education Development 2025A162025 Undergraduate Provincial Education Reform Project of Zhejiang Province JGCG2025035
6 · The paper itself

Abstract

purposeTo introduce the Phaco Tip-Chopper Flip Technique in removing epinucleus during phacoemulsification, and to report the preliminary clinical outcomes in patients who underwent this technique.

methodsSixteen eyes with various conditions that underwent the Phaco Tip-Chopper Flip technique were retrospectively reviewed. The key steps of this technique consisted of retaining the phaco tip in the irrigation/aspiration (I/A) mode after nuclear fragment removal, using low-to-moderate vacuum to aspirate the folded portion of the epinucleus while the chopper was used to push the interior edge. The coordinated application of these forces flipped the epinucleus away from the capsular bag, enabling its rapid removal.

resultsAll surgeries were completed successfully without any intraoperative or postoperative complications, notably without posterior capsule rupture. Thick and adherent epinucleus was smoothly aspirated in the vast majority of cases under I/A mode using a high vacuum (400 mmHg). Postoperative corrected distance visual acuity improved as expected in all cases at both 1-day and 1-week follow-ups.

conclusionThe Phaco Tip-Chopper Flip Technique appears to be a safe and efficient method for epinucleus removal based on this preliminary experience, and is suitable for various types of cataract scenarios.

Indexed as

Lens Nucleus, CrystallinePhacoemulsificationAgedAged, 80 and overFemaleHumansLens Implantation, IntraocularMaleMiddle AgedRetrospective StudiesVisual AcuityCataract surgeryEpinucleusPhacoemulsificationPosterior capsule ruptureTechnique

Identifiers

PMID42231217
PMCPMC13450517

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.