The frequency of the phaco tip in torsional phaco was 80% of longitudinal phaco 32 kz in torsional versus 40 kz in longitudinal and the travel distance of the phaco tip in torsional phaco was 12 of that in longitudinal phaco. Cataract surgery with phaco and femtophaco techniques. Lenses used is regular phaco are slightly hard and have to go through a 3. David richardson describes in detail how cataract surgery is done while demonstrating an entire unedited cataract surgery from start to finish. Incision construction is critical to a successful phacoemulsification procedure. Cataract and lens replacement day of surgery and postoperative instructions. At first day postoperatively, biomicroscopic examination revealed normal findings except grade 2 corneal edema in the left eye. Mar 27, 20 a new irrigation aspiration phaco free tip is being shown in combination with femto cataract surgery. Lehmann used the divide and conquer technique for nuclear removal and he explains all the steps in detail. We have the corneal endothelium protected with our ovd. This video demonstrates a regular phacoemulsification surgery in a patient with a sporadic cataract. All the regular steps were performed and the nucleus was removed using a modified stop and chop technique. We have a good incision to maintain proper fluidics.
The stellaris pc allows surgeons to have true procedural choice by providing the most advanced technology for both vitreoretinal and cataract. It is a versatile system that allows surgeons the flexibility to perform different ophthalmic procedures while saving time, space and money for the surgeons and the. A systematic approach which included completion of the ccc, phaco chop with reduced rotation of the nucleus, stabilization of the anterior chamber with dispersive ovd viscoat, use of mackool capsular hooks, placement of a ctr while the hooks are in place. This has considerable importance because the choice of the most appropriate technique for each surgical step is an essential component of the surgical planning as the various steps are all closely linked togetherall surgeons from beginner to expert. These can be based on peristaltic or a venturi type of pump. The mainstay of this surgery, phacoemulsification of the lens using the phaco machine can be approached by many different methods. Put your patient portal or practice website to work for you. A complete procedure for this treatment is described here. At 1week control visit, corrected visual acuity was 0. Basic principles of phacoemulsification and fluid dynamics. During the early stages of cataract surgery, it was apparent the zonules were very loose.
Cataract and refractive surgery patient education video. The machine displays these settings as us ave, which stands for ultrasound average, and ept, which is elapsed phaco time. Whichever technique is used, the objective is to remove the lens through a small incision. Find how to demonstrations of phacoemulsification techniques, iol insertion, and discussion of trends and new technologies in cataract surgery. As the name suggests, this guide is aimed at beginning phaco surgeons and residents. Phaco with unanticipated advanced diffuse zonulopathy.
A new irrigation aspiration phaco free tip is being shown in combination with femto cataract surgery. The incision needs to be accurately sized for the size of the phacoemulsification tip to be used. Phaco surgery for cataract centre for sightnew vision. Phacoemulsification cataract surgery is a procedure in which an ultrasonic device is used to break up and then remove a cloudy lens or cataract from the eye and it is one of the safest and most commonly performed operations around the world. Haldipurkar showed a good capsulorhexis and demonstrated the divide and conquer technique of nucleus removal.
The complete softening pattern with the catalys laser system in combination with the new tip design allows for efficient lens removal without the use of ultrasound. Small incision, nostitch, phacoemulsification cataract surgery with intraocular lens iol implant. Incision construction for phacoemulsification surgery. Cataract and lens replacement day of surgery and postoperative.
This video will help you to understand that how does the cataract surgery is carried out. A nice video to learn phaco all steps including direct. Sherif eldefrawy, university of toronto transcript dr eldefrawy. As a normal part of aging, the lens begins to cloud and causes a gradual, painless loss. In the presence of endothelial dystrophy, phacoemulsification can be utilized to achieve an excellent outcome. Based in aga khan university hospital, karachi, pakistan. Incision construction for phacoemulsification surgery video. During surgery, the phaco machine keeps track of the average phaco power, given as a percentage of maximum, as well as the total time during which phaco ultrasonic power was delivered. Jul 15, 2017 this video is about how to do phaco step by step for pgs and beginners.
You may eventually need surgery if you begin to see starbursts around lights at night or if objects are hazy during the day. Todays microincision corneal procedures utilize an incision of 2. Free download manual sics surgery video,phaco surgery video,managment of cataract surgery complication video,cataract and glaucoma surgery video. The first half is all cartoon animation, and in the second half, i show an actual surgery using the same steps. Cataract surgery with phaco and femtophaco techniques offers a unique insight into the evolution of phacoemulsification machines and the development of new ways to supply energy, as well as new devices that improve fluidics therefore increasing the safety of the phaco and femtophaco surgical procedures.
May 15, 2011 small incision, nostitch, phacoemulsification cataract surgery with intraocular lens iol implant. Instrumentation is varied among surgeons, with many newer technologies emerging. Cataract surgery with phaco and femtophaco techniques takes a fresh look at all of the main techniques proposed and employed over the years. Introducing phaco surgery must have ophthalmic surgical microscope must have yag laser for treatment of secondary cataract ability to practice and perfect technique ability to pay for sets ability to properly sterilize handpieces and sets ability to maintain equipment availability of iolsglasses. Phacoemulsification department of ophthalmology academic. Apr 24, 2018 a special penshaped instrument is used to break up and suction out the cloudy, natural lens. The phaco probe is an ultrasonic handpiece with a titanium or steel needle.
An iol was implanted in the capsular bag and the ports were hydrated. All video was collected from resident surgeon cases here at boston medical center. Phacoemulsification surgery involves the use of a machine with microprocessorcontrolled fluid dynamics. This video demonstrates a routine phacoemulsification surgery in a dense nuclear cataract. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free to browse, learn, share and discuss all for free. This video describes the outpatient procedure that is done to remove a cataract. And search more of istocks library of royaltyfree stock video footage that features biometrics. Typical cataract surgery video with audio notes on vimeo. May 28, 2009 phacoemulsification cataract surgery is the most modern and safe technique for cataract surgery.
Pc rupture during phaco surgery video ophthalmology video. Phaco fundamentals download ebook pdf, epub, tuebl, mobi. More than 300 illustrations and photographs supplement the important information presented, providing visual as well as textual references. Video 1 demonstrates the steps of the phaco surgery at first day postoperatively, biomicroscopic examination revealed normal findings except grade 2 corneal edema in the left eye. Cataract eye surgery stock video download video clip now istock. A nice video to learn phaco all steps including direct chop by dr pradip mohanta. Phacoemulsification 1 basic techniques is the first in a series of dvds forming the complete video atlas of eye surgery.
The lens is replaced with an artificial intracular lens iol. With phacoemulsification or phaco, the surgeon cuts a small opening in the clear covering over your eye the cornea, and a tool sends sound waves that break up the clouded lens into smaller. Mar 20, 2009 but with the sleeve on, with traditional coaxial phaco, we are able to go down to 1. Cataract and refractive surgery patient video collection. The lens of the eye is responsible for focusing images onto the back of the eye. Viscoelastic was used to stabilize the anterior segment, the remaining nuclear pieces removed, cortex evacuated with bimanual anterior vitrectomy and a single piece acrylic lens placed with reverse optic capture through the capsulorhexis. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free. Several elements are emphasized in this video to ensure success. This video demonstrates a phacoemulsification in a 65yearold man with cataract in the right eye.
To learn more about cataract surgery, eye health and how to take care of your vision. The tip of the needle vibrates at ultrasonic frequency to sculpt and emulsify the cataract while the. This video is about how to do phaco step by step for pgs and beginners. Cataract and refractive surgery patient education video collection. This video demonstrates a routine phacoemulsification surgery with detailed narration for each step. Cataract surgery phaco soft psc technique surgery video. As a normal part of aging, the lens begins to cloud and causes a.
Video supplementation to the traditional informed consent process demonstrated an improvement in patient understanding of cataract surgery and decreased anxiety on the day of surgery. But with the sleeve on, with traditional coaxial phaco, we are able to go down to 1. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. Fuchs dystrophy phaco phacoemulsification cataract surgery. Phacoemulsification cataract surgery is the most modern and safe technique for cataract surgery. Everything weve done to this point is in preparation for emulsifying the nucleus. The stellaris pc allows surgeons to have true procedural choice by providing the most advanced technology for both vitreoretinal and cataract surgery in a single system.
This site is like a library, use search box in the widget to get ebook that you want. Get 21 cataractthemed videos for your practices website or patient portal no subscription required. All video was collected from resident surgeon cases here at boston medical center, to help provide the viewing surgeon with a realistic target of soon to be acquired skills. Various video assisted lectures including phaco dynamics and phaco techniques. This tutorial provides a step by step video introduction to coaxial phacoemulsification. Routine cataract surgery turned complex due to posterior capsule rupture during phacoemulsification. We outline the commonly taught divide and conquer technique which most starting surgeons learn.
May 17, 2017 while the trainee will perform the surgery the experienced teacher and consultant will stand by to guide the training at each step and take over surgery in likelihood of a problem. Suhas haldipurkar, laxmi eye institute, mumbai, india transcript to translate please. The video atlas of eye surgeryphacoemulsification part 1. The machine displays these settings as us ave, which stands for ultrasound average, and ept, which is. Video 1 demonstrates the steps of the phaco surgery. Jan 05, 2009 the lens of the eye is responsible for focusing images onto the back of the eye. It is a surgical technique wherein the cataract is emulsified using ultrasonic energy. The surgeon used stop and chop technique for the nuclear removal and an iol was implanted in the bag. Phacoemulsification cataract surgery is a procedure in which an ultrasonic device is used to break up and then remove a cloudy lens or. Phaco, torsional burst mode, high quality version surgery. A special penshaped instrument is used to break up and suction out the cloudy, natural lens. This distinctive book and video cdrom will make its mark with everyone involved in cataract surgery, from the resident to the experienced phaco surgeon. Impact of intelligent phacoemulsification software on.
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