Optimizing refractive lens exchange with bimanual microincision phacoemulsification

被引:33
作者
Fine, IH [1 ]
Hoffman, RS [1 ]
Packer, M [1 ]
机构
[1] Hoffman & Packer LLC, Eugene, OR 97401 USA
关键词
D O I
10.1016/j.jcrs.2003.07.011
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Bimanual microincision phacoemulsification entails the removal of the crystalline lens through 2 1.2 mm incisions. Infusion is provided through a separate irrigating handpiece, and phacoemulsification and aspiration are performed through a sleeveless phacoemulsification needle. We describe a technique for refractive lens exchange using bimanual microincision phacoemulsification. Capsulorhexis formation, cortical cleaving hydrodissection, lens extraction in the iris plane, and residual cortex removal are performed through the microincisions. This technique offers improved surgeon control throughout the procedure and added safety by maintaining continuous pressurization of the eye while removing the lens far from the posterior capsule. (C) 2004 ASCPS and ESCRS.
引用
收藏
页码:550 / 554
页数:5
相关论文
共 18 条
[1]   Phakonit: Phacoemulsification through a 0.9 mm corneal incision [J].
Agarwal, A ;
Agarwal, A ;
Agarwal, S ;
Narang, P ;
Narang, S .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2001, 27 (10) :1548-1552
[2]   Dodick laser phacolysis: Thermal effects [J].
Alzner, E ;
Grabner, G .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1999, 25 (06) :800-803
[3]  
[Anonymous], CATARACT
[4]   Bimanual irrigation/aspiration [J].
Brauweiler, P .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1996, 22 (08) :1013-1016
[5]   Retinal detachment after clear lens extraction for high myopia - Seven-year follow-up [J].
Colin, J ;
Robinet, A ;
Cochener, B .
OPHTHALMOLOGY, 1999, 106 (12) :2281-2284
[6]   Injectable Intraocular lens materials based upon hydrogels [J].
de Groot, JH ;
van Beijma, FJ ;
Haitjema, HJ ;
Dillingham, KA ;
Hodd, KA ;
Koopmans, SA ;
Norrby, S .
BIOMACROMOLECULES, 2001, 2 (03) :628-634
[7]   CORTICAL CLEAVING HYDRODISSECTION [J].
FINE, IH .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1992, 18 (05) :508-512
[8]   New phacoemulsification technologies [J].
Fine, IH ;
Packer, M ;
Hoffman, RS .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2002, 28 (06) :1054-1060
[9]   Use of power modulations in phacoemulsification - Choo-choo chop and flip phacoemulsification [J].
Fine, IH ;
Packer, M ;
Hoffman, RS .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2001, 27 (02) :188-197
[10]  
Girard L J, 1978, Adv Ophthalmol, V37, P127