AIM: To observe the clinical security of torsional phacoemulsification for a beginner.

METHODS: The clinical data of 200 eyes who accepted torsional phacoemulsification by a beginner from February 2012 to March 2013 were reviewed. The operation complications were analyzed and the postoperative effect was assessed.

RESULTS: There was no collapse of the anterior chamber during operation. When the last nuclear was removed the surge occurred mildly. Posterior capsular rupture happened in 8 eyes, 5 eyes' intraocular lens(IOL)implanted in sclera sulcus after anterior vitrectomy, 3 eyes' IOL in bag without vitreous outflow. One eye without continuous curvilinear capsulotomy was transferred to the superior doctor for extracapsular cataract extraction(ECCE). One eye with the loose zonular fiber was implanted a capsular tension ring by the superior doctor. Seven cases need suture because of short sclera tunnel incisions. Uncorrected visual acuity a week after operation: 2 eyes(1%)<0.05, 31 eyes(15.5%)0.05-<0.3, 64 eyes(32%)≥0.3, 103 eyes(51.5%)≥0.5. There was no grade 3 corneal edema. The high intraocular pressure can be controlled by anterior chamber penetration or drugs.

CONCLUSION: The technique of torsional phacoemulsification is safe and effective for a beginner.