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Houston-A modification to the tip design with Aqualase technology (Alcon) seems to make the procedure more successful with denser nuclei, reported Robert Lehmann, MD, who has been using the technology successfully for almost 3 years. Aqualase technology, which uses heated fluid instead of ultrasound energy to melt nuclear ma-terial, eliminates the energy and time of standard ultrasound phacoemulsification for small-incision cataract surgery, he said.