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The 2PoVis 2.US Cataract Surgery Protocol A new strategy for safe phaco in the COVID-19 Era There is experimental evidence that phacoemulsification may be aerosol generating, therefore it is important to update the phaco safety protocols in order to protect both the patient and medical teams. We analyzed the evidence regarding cataract surgery and risk of aerosolization and developed a NEW protocol which fulfills 4 critical goals: improved preoperative preparation improved ocular surface sterilization improved anterior chamber isolation isolation improved surgical efficiency Our new cataract surgery protocol is represented by the simple formula 2PoVis 2.US Double povidone-iodine irrigation Coesive OVD to purge the aqueous humor Dispersive OVD to seal the main corneal incision (coesive-dispersive OVD may be used) Corneal incision shoul be below 2.4 mm And use of advanced ultrasosund modulation While the risk of infection is psosible inexistent, all caution should be employed in aerosol generating medical procedures. We believe this simple strategy improves the cataract surgery technique and completely neutralizes the possibility of phaco and covid19 #cataractsurgery #phaco #covid19 #coronavirus