Intraoperative performance and postoperative outcomes of microcoaxial phacoemulsification

Abstract

Microcoaxial phacoemulsification was safely and effectively performed, achieving consistent and satisfactory postoperative outcomes.

DisCoVisc versus the soft-shell technique using Viscoat and Provisc in phacoemulsification: Randomized clinical trial

“…Moreover, in our study, the endothelial cell loss at 3 months was not significantly different from the preoperative count or from the cell count after conventional phacoemulsification projected in literature. 26 Dense cataract emulsification is cited as a risk factor for excessive cell loss. 2,27 Furthermore, there have been contradictory reports on the correlation between cell loss and total phacoemulsification time, fluid used, and energy used.…”

Coaxial, microcoaxial, and biaxial microincision cataract surgery

“…In microcoaxial phacoemulsification, irrigation, aspiration, and phacoemulsification are performed with the same instrument (phaco handpiece), used in standard coaxial phacoemulsification. [1][2][3] The only difference between the 2 techniques is the smaller main incision in microcoaxial phacoemulsification, which is the result of the development of the phaco tip sleeves. In biaxial MICS, however, the irrigation and phacoemulsification aspiration steps are separate; an irrigation chopper is used for irrigation and a sleeveless phaco tip for aspiration and phacoemulsification.…”

“…[17][18][19][20] Microcoaxial phacoemulsification has the advantages of standard coaxial phacoemulsification and, unlike biaxial MICS, does not have a steep learning curve. 3 The main disadvantage of the technique is the decreased followability of the nucleus, which can increase turbulence and reduce efficacy.…”

Real-time intraoperative high-speed imaging during phacoemulsification

“…17 A 0.9 mm miniflared 45-degree aspiration bypass system Kelman tip was used with an Ultrasleeve (Alcon Laboratories, Inc.). Torsional ultrasound was used in the burst mode in all eyes.…”