Safe technique for dropped nucleus using a combined Lollipop and Cowboy approaches

This video demonstrates a safe surgical management strategy for a dropped nucleus using a combined approach.We introduce the "Lollipop technique" to stabilize and emulsify the nucleus using a diathermy probe, followed by the "Cowboy technique" for sutureless IOL fixation using a 27-gauge Finesse Flex Loop.This combination ensures controlled nucleus removal and secure IOL implantation without corneal and retinal complications.

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Publication Details

Journal
American Journal of Ophthalmology Case Reports
Published
2026-03-11
DOI
https://doi.org/10.1016/j.ajoc.2026.102557
Primary Topic
Retinal and Macular Surgery
Type
article
Field-Weighted Citation Impact
0.00
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article

Safe technique for dropped nucleus using a combined Lollipop and Cowboy approaches

Ryuya Hashimoto
American Journal of Ophthalmology Case Reports
Retinal and Macular Surgery
article

Safe technique for dropped nucleus using a combined Lollipop and Cowboy approaches

Ryuya Hashimoto
article en

Abstract

This video demonstrates a safe surgical management strategy for a dropped nucleus using a combined approach.We introduce the "Lollipop technique" to stabilize and emulsify the nucleus using a diathermy probe, followed by the "Cowboy technique" for sutureless IOL fixation using a 27-gauge Finesse Flex Loop.This combination ensures controlled nucleus removal and secure IOL implantation without corneal and retinal complications.

American Journal of Ophthalmology Case ReportsVol. 42
Toho University (JP), Toho University Medical Center Sakura Hospital (JP)
Openalex Percentile: Top 26%
Retinal and Macular Surgery
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