Phaco with 2.2 mm incision, bimanual IA & wound-assisted IOL implantation: P Mohanta, 12 Sept, 2020 скачать в хорошем качестве

Phaco with 2.2 mm incision, bimanual IA & wound-assisted IOL implantation: P Mohanta, 12 Sept, 2020

Today I did two Phacosurgeries with 2..2 mm main wound. The first one was live streamed; this is the second one. Differences from 2.8 mm coaxial Phaco is: 1. The Utrata forceps has restricted movements. A micro-rhexis forceps or a Haldipurkar capsulorhexis forceps may have more free movements. 2. Hydrodissection has to be more careful. Before injecting fluid, some visco must be expressed out. 3. In the Oertli catarex 3 Phaco machine I used 400 mmHg vacuum and 45 flow rate for direct chop. 4. This was a hard nucleus, 80% ultrasonic energy was employed to manage this nucleus. 5. Bimanual IA was used to remove the cortex. 6. IOL was implanted using Visco. Because the main wound was not enlarged and it was wound-assisted delivery of the nucleus into the anterior chmaber, then into the capsular bag. Hydroimplantation should not be attempted. Because the IOL may get stuck in the wound. In that situation, it will be a problem if there is no visco in the AC.