7. STANDARD PRE-OPERATIVE NUCLEAR CLASSIFICATION SYSTEM (SPONCS)
CANON EOS SLIT-LAMP PHOTOGRAPHIC EXAMPLES.
0 (clear)
1 (subcapsular/posterior cataract with clear nucleus)
2 (mild “green nucleus” with plus sign for yellow reflection of the posterior cortex)
3 (medium “yellow nucleus” with plus sign for brown/red posterior cortex reflection)
4 (advanced with 4 being “red/brown nucleus” and 4+ white nucleus)
5 (hypermature/Morgagnian nucleus).
12. • It is the most critical component for predicting surgical needs
and choosing the most appropriate surgical technique
according to the hardness of the nucleus.
• They often won’t personally evaluate every patient before
surgery.
• They can determine the approach, plan which cases should go
to less or more experienced surgeon, and anticipate surgical
complications.
13. Capsule
• Does the capsulorhexis affect refractive
outcomes?
• How to avoid an errant tear.
Incision,Injecting Viscoelastic, capsular staining
• Tips of hydrodisssection technique
• Avoiding and managing complications from
hydrodissections.
