Download Cataract Surgery With Phaco and Femtophaco Techniques by Lucio Buratto, Stephen Brint, Rosalia Sorce PDF
By Lucio Buratto, Stephen Brint, Rosalia Sorce
Cataract surgical procedure With Phaco and Femtophaco ideas bargains a distinct perception into the evolution of phacoemulsification machines and the improvement of recent how you can offer power, in addition to new units that increase fluidics hence expanding the security of the phaco and femtophaco surgical procedures.
Dr. Lucio Buratto, Dr. Stephen Brint, and Dr. Rosalia Sorce offer a step by step method of every thing the health practitioner needs to find out about the actual rules that keep watch over the fluidics and effort to appreciate the machine’s operating through the surgical procedure.
Cataract surgical procedure With Phaco and Femtophaco innovations covers a wide selection of issues, together with anterior chamber phacoemulsification, endocapsular thoughts, irrigation and aspiration, fluidics and pumps, and rules of femtosecond cataract surgery.
Supplemented by way of greater than three hundred colour illustrations, diagrams, a thesaurus, and references, all surgeons from newbie to professional will wish this targeted source through their part.
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Extra info for Cataract Surgery With Phaco and Femtophaco Techniques
Endocapsular Techniques 29 TABLE 3-2. PHACOEMULSIFICATION IN THE PUPILLARY PLANE—BURATTO S TECHNIQUE Incision Capsulotomy Technique Used Between 1980 and 1987 Modifications to the Technique Sclerocorneal or limbal Short scleral or corneal tunnel, with almost immediate entry in the chamber ● ● Can opener ● With BSS Initial Shaving first, followed by deep sculpting phacoemulsification in the proximal and central portion of the phase nucleus. The procedure is gradual and progressive. The groove is deep if the nucleus is hard, less extensive if soft.
When the proximal equator has been put in a sufficiently anterior position, the U/S tip is advanced until it engages the nucleus at the equator: at this stage, move the pedal to position 1 then to position 2 with the double aim of keeping the luxated nucleus in the anterior chamber by means of aspiration and separating the cortical-nuclear adhesions in the superior sector by means of irrigation (Figure 3-1). 3. Equatorial fragmentation: Used to remove a proximal equatorial segment while the second instrument stabilizes the nucleus and keeps it a little more elevated and “available” for the phaco tip.
The key to a stress-free procedure (for both the capsule and the surgeon) is to create the central groove as deeply as is safely possible (ie, until the red reflex is visible). While sculpting, use the underlying cortex as a safety point of reference to protect the posterior capsule. Once the first half of the central groove has been made, the nucleus is rotated counterclockwise by 90 or 180 degrees with a one-handed motion or along with the phaco tip, and the second instrument that was previously introduced through the lateral paracentesis.