We appreciate the commendable work by Kageyama et al , which was published in the BJO .1 We have also studied the results of left handed non-dominant hand phacoemulsification prospectively, performed in left eyes of 29 patients with an immature senile cataract and against the rule astigmatism. Phacoemulsification was performed by an experienced surgeon (RBV) under peribulbar anaesthesia. The surgeon sat at the head end of the patient while performing these operations (on left eyes). In all the cases, a 3.2 mm clear corneal temporal incision was made with a diamond knife held in the left hand of the surgeon. Following a continuous curvilinear capsulorhexis and hydroprocedures a phaco chop nucleotomy technique …