Figure 1.

In the capsulorhexis procedure, the trainee has to inject viscoelastics into the anterior chamber, create a flap with a cystotome in the anterior capsule, and finally complete a circular capsulorhexis. In the hydromaneuvers module, the trainee places a cannula under the rhexis edge and injects liquid solution at the right speed, creating a visible fluid wave in the cortex. Afterwards, the trainee rotates the nucleus, proving that an appropriate hydrodissection has occurred. During the phacoemulsification (phaco) divide and conquer, the trainee has to create grooves in the nucleus, crack the nucleus into quadrants, and finally consume the quadrants with ultrasonic energy using phacoemulsification.