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44, 95% CI 1.08-313.56) and Group II (3/137, corrected RR = 6.64, 95% CI 0.35-27.41). Group III showed better BCVA on day 1 and 7, less ECC loss on day 7 and 30, and less CCT increase on day 1 and 7. No cases converted to extracapsular cataract extraction. No residual lens materials misdirected into vitreous cavity. Intraoperative use of IOL can improve surgical safety for dense cataract phacoemulsification.An amendment to this paper has been published and can be accessed via a link at the top of the paper.R-loops are three-stranded