Phacoemulsification in posterior polar cataracts with a soft nucleus: Simple as ABC with proper techniques and precautions

Posterior polar cataract (PPC) is a type of cataract characterized by opacification at the posterior pole of the lens. It poses unique challenges during surgical management due to its tendency for capsular weakness, which increases the risk of complications during phacoemulsification. If the nucleus is soft (grade <2), removal using phacoemulsification is easy after it has been delineated using hydrodelineation and viscodelineation. In this case, we aim to demonstrate and educate on the proper steps for performing phacoemulsification surgery under topical anesthesia for a 36-year-old woman who presented with PPC grade II (as per Daljit Singh classification) with a soft nucleus in her right eye.