Nstep by step phaco tips and tricks pdf

Intraoperative fracture of phacoemulsification tip ncbi. The use of minimal stress and the tefloncoated tip for bimanual, highfrequency. Phaco tips, bubble free, ultrasonic phaco tip at sun coast. Phaco tips for beginners part 2 khiun tjia on vimeo. Phaco set, phaco set manufacturers india, phaco instruments set, phaco instruments, phaco instruments suppliers india, phaco instruments manufacturers, phaco surgical.

Skip this step with posterior polar cataract, perforating lens trauma or early post vitrectomy cataract. Step by step phacoemulsification tips and tricks top results of your surfing step by step phacoemulsification tips and tricks start download portable document format pdf and ebooks electronic books free online rating news 20162017 is books that can provide inspiration, insight, knowledge to the reader. This technique was then applied during cataract surgery. The aim was to analyze the learning curve of phacoemulsification phaco performed by residents without experience in performing extracapsular cataract extraction ecce in a stepbystep training program sbstp. By understanding the basics of phacoemulsification outlined above, surgeons can ensure that they are utilizing modern phaco technology to its fullest potential, with maximum efficiency and minimal risk.

A stepbystep explanation of chopper and phaco tip positioning duration. Several approaches may be used, including a divide and conquer approach whereby the nucleus is first divided into two main pieces. It is also an essential middle step between wet lab training to performing the entire phaco procedure on the patient both effectively and safely. Amos commonly used phaco tips and sleeves guide phaco tips incision size. The primary goal of our present study was to evaluate the temperature profiles at the corneal wound with two different phaco tips balanced versus kelman tip and 2 different sleeves.

For a soft cataract, a single plane keratome incision is made. The phaco tip was embedded into the nucleus with preset. Principles and techniques, second edition is perfect for the surgeon interested in learning the concepts, developing skills, and preparing for the actual surgical procedure. Cataract offcentered phaco tip design by ellen stodola eyeworld staff writer two views of the harmonyx phaco tip. Sun coast medical offers costeffective phaco tips for use with most machines including alcon, storz, amo, oms, and mentor.

These tips ensure a technique that is highly reproducible, uses a minimal number of instruments and steps, and. Divide and conquer nucleotomy incorporates 4 basic steps. Inject fluid just under capsule to cleave cortex from capsule. Step by step through phacoemulsification the cataract course. The following information is based upon the phacoemulsifier aspirator pea by alcon laboratories. Traditionally the probe delivers power only in a longitudinal manner, with the phaco needle moving forward and back. High quality raw materials are used to manufacture them which are tested and supervised to make them flawless and effective. Fiftysix patients of immature senile cataract with hard nucleus grade 3. Various steps of cataract surgery phacoemulsification along with the implantation of iol are described. Recent innovations in phaco technology also allow for the delivery of power through a lateral motion. Often what our mind does not know, our eyes do not see. Crozafon described the use of tefloncoated phaco tips for bimanual highfrequency pulsed phaco, and suggested that these tips would reduce friction and therefore allow surgery with a sleeveless needle crozafon p. Extremely readable, step by step phaco tips and tricks should be read by all who perform phaco. The phaco tip was embedded into the nucleus with preset maximal energy.

The instruments used for irrigation aspiration can be automated or manual. Phaco chop and its many variants subsequently revolutionized the approach to nucleusfracture techniques in cataract surgery. The better performed each step, the less chance of complications during surgery. Cataract surgery phacoemulsification in 10 easy steps. Complication rates of phacoemulsification and manual smallincision cataract surgery at aravind eye hospital aravind haripriya, md, david f. Every step of phacoemulsification from incision to iol implantation, as well as. I expose approximately 1 mm of the phaco tip past the end of the irrigation. Phaco tips, we are always looking for a better one. Complication rates of phacoemulsification and manual small. Phaco in deep seated left eye with prominent brow tips. This twopart article examines the basics of phaco chop techniques.

So, with phaco, theres a risk of inadvertently spreading one of the rk incisions, resulting in induced regular or irregular astigmatism after the cataract procedure. Sielbel phaco dynamics, chang curbside expectation assessment resources understand iol selection oral greenhorns consent patient for complex cataract surgery eg ctr, icg oral perform 5 phaco cases with 2 hand phaco. Kuhn, cst in 1967, an extraordinary innovation in cataract surgery. The cortex is aspirated and pulled away from the capsule. Phacoemulsification phaco is an established procedure for cataract extraction and has undergone a significant advances in techniques, machines and phaco.

Akahoshi, the harmonyx tip provides for a safer and more efficient procedure. Cataract surgery a step by step guide to phacoemulsification. A 2step incision will be made for dense nuclei or eyes at risk for iris prolapse because of. Despite this, most of us do not place enough emphasis on this. For surgeons who use a divide and conquer or chopping technique, he recommends a straight or. Storz phaco manual on pdf database products for storzbausch lomb phaco systems. Buy phaco tips, the first ten years on free shipping on qualified orders. Chang, md, mascarenhas reena, ms, madhu shekhar, ms purpose. All three tips were effective with no intraoperative complications. To segment the nucleus, i use a horizontal phaco chop technique. Heat generation and efficiency of a new modified phaco tip. Anesthesia topical, subtenon, peribulbar, retrobulbar, or. In vertical chopping, the two instrument tips move.

One of the challenging steps of this technique is determining adequate. Phaco tips must meet the properties of specific groups of machines as well as meet the procedural needs of the surgeon, he explains. Tips and tricks for phaco using the whitestar signature sam garg, md. Ccs is considered very important for passing step 3. Delivering ultrasound power through lateral motion can increase. Usmle ccs step 3 tips and tricks discussion student. Measuring phacoemulsification groove depth using probe tip.

The phaco tip was embedded into the nucleus with preset maximal. Hydrodissection this is the second most important step of the procedure. There are so many things we do not notice on software because of not knowing or not practicing enough. Step by step through phacoemulsification step by step through phacoemulsification. An effective cataract surgeon in the developing world is one who is doing high volume, low cost and low complication surgery. The secondary goal of this study was to evaluate the efficiency and chatter events with 2. For many of these effective cataract surgeons, the operation of choice is now sutureless nonphaco cataract extraction, and others are changing to this technique. To analyze the rate of intraoperative complications, reoperations, and endophthalmitis. Other techniques use a chopper as a second instrument to fragment the nucleus into multiple pieces which are then emulsified by the phacohand piece. Each step listed during phacoemulsification below needs to be performed skillfully, so that the next step becomes easier. Other exclusion criteria were intraoperative events like manual. Tips and tricks for phaco using the whitestar signature. Heading rows which you want to repeat on every page.

Ebook step by step phaco tips and tricks as pdf download. Capsulorrhexis can be performed with bent 26 or 27 g needle or capsulorrhexis forces. Now in the page setup window go to sheet tab and specify following things. Miniflared kelman tip, reverse tip, and sidewinder tip. When using torsional phacoemulsification through microincisions and the prefracture technique with the beveldown technique, the miniflared 45degree kelman tip required a lower mean phaco time. Use balanced salt solution in 3 cc syringe with troutman 27 gauge or similar. I have experimented with thick, thin, square, singlebeveled, doublebeveled, and flared ones and even some that looked like a chisel. Visual techniques include utilizing good stereopsis, with better depth. Phacoemulsification was first introduced in 1967 by charles kelman and emerged as an efficient and fast variation of extracapsular cataract extraction surgery advantages of phacoemulsification over icce small incision reducing healing time, postoperative astigmatism, flattening of the chamber, hemorrhagic complications, number of sutures.

This completely revised and updated resource contains a detailed description of the basic technique of phacoemulsification and the special techniques devised by dr. In this first part, we summarize the principles of chopping. While phacoemulsification is no longer the latest technology, it is the standard procedure for removing cataracts providing the ophthalmic surgeon with practical advice for developing surgical skill in the area, vikas mahatme reveals his tips and tricks for performing phaco and overcoming the complications that can be encountered on a daily basis. Stepbystep phacoemulsification training program for. Progressive cracking technique for phacoemulsification of. Ebook step by step phacoemulsification tips and tricks as. For example, the properties pertaining to a machines ability to control surge will differ. Tips and tricks for pupil expansion rings malyugin ring in cataract surgery duration. A scleral tunnel that is too long may constrict the irrigation sleeve, and so the corneal tunnel length should be restricted to less than 1. Because of this, i believe that phaco chop provides the.

Smallincision cataract surgery sics, also called manual. The same two designs were the subject of the predicate device and have been cleared by the fda under kill1 882. Measuring phacoemulsification groove depth using probe tip dimensions and. The stepbystep training program might be a necessary process for a resident to transit from dependence to a selfsupported operator. Greater angulation facilitates sculpting whereas lower angle is good for occlusion. Pin and expand the notebooks list for easy navigation. This approach allows me to break up and remove the nucleus efficiently with minimal phaco energy. The obvious solution is a sleeved phaco tip that fits through a.