Chapter-189 Manual Multiphacofragmen-tation: A New Technique for Cataract Surgery

2002 ◽  
pp. 1716-1719
Author(s):  
Agarwal Athiya
Keyword(s):  
Cataract Surgery ◽  
New Technique ◽  
A New Technique

scholarly journals Ultrachopper Assisted Prechopping for Small-incision Cataract Surgery

2016 ◽  
Vol 1 (1) ◽  
pp. oapoc.0000001 ◽  
Author(s):  
Rubén D. Berrospi ◽  
Alejandro Tello ◽  
Virgilio Galvis
Keyword(s):  
Cataract Surgery ◽  
Cataract Extraction ◽  
Good Alternative ◽  
New Technique ◽  
Extraction Technique ◽  
Straightforward Manner ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
A New Technique

Purpose To describe a new technique to split rock-hard nuclei using an ultrasonic chopper (Ultrachopper) and a prechopper, in order to perform a modified small incision manual cataract extraction. Methods The Ultrachopper device, which is compatible with modern phacoemulsification systems, is used to facilitate the division of very hard nuclei in a straightforward manner using a manual prechopper, and the two fragments are extracted using Kansas forceps. Results In rock-hard nuclei, this technique is very effective to divide and extract the fragments. The risk of complications related to phacoemulsification on these very challenging cases is avoided. Conclusions This modified small incision manual cataract extraction technique, assisted with an ultrasonic chopper (Ultrachopper) and a prechopper, is a very good alternative in rock-hard nuclei.

Remnant Extraction by Using an Intraocular Lens Injector with Essential Flow

2017 ◽  
Vol 27 (4) ◽  
pp. 509-511 ◽  
Author(s):  
Momoko Yamakawa ◽  
Mami Kusaka ◽  
Shogo Yamada ◽  
Masayuki Akimoto
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
New Technique ◽  
Passive Flow ◽  
Incision Size ◽  
A New Technique ◽  
Capsular Rupture ◽  
Soemmering Ring ◽  
Residual Fragments

Purpose To describe a new technique for remnant removal in cases of posterior capsular rupture during cataract surgery and Soemmering ring extraction during intraocular lens (IOL) removal. Methods An IOL injector, inserted into the anterior chamber, provides a new exit for residual lens fragments. Passive fluid flow, supplied by an anterior chamber maintainer or some ocular viscoelastic device (OVD) injection, delivers the residual fragments into a lumen of the injector in assistance with a second device such as a phaco-chopper and vitreous cutter. Results Soemmering rings can be removed safely through small incisions even when under the iris. Nucleus fragments in anterior chamber can be removed safely. Fragments that fall into the vitreous cavity can float up for removal by passive flow. Conclusions This new technique, remnant extraction through lens injector with essential flow, has several practical advantages over existing methods including reduced OVD injection and smaller incision size. It may offer an alternative to existing methods of remnant removal in cases of posterior capsular rupture during cataract surgery and Soemmering ring extraction.

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