Application of the Active-Fluidics System in Phacoemulsification: A Review
The fluidics system is an indispensable and primary component of phacoemulsification. Both the gravity-fluidics system and active-fluidics system are commonly used in practice. The irrigation pressure of the gravity-fluidics system is determined by the bottle height, which is relatively constant, wh...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/2/611 |
| _version_ | 1797440583467270144 |
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| author | Yu Luo Guangcan Xu Hongyu Li Tianju Ma Zi Ye Zhaohui Li |
| author_facet | Yu Luo Guangcan Xu Hongyu Li Tianju Ma Zi Ye Zhaohui Li |
| author_sort | Yu Luo |
| collection | DOAJ |
| description | The fluidics system is an indispensable and primary component of phacoemulsification. Both the gravity-fluidics system and active-fluidics system are commonly used in practice. The irrigation pressure of the gravity-fluidics system is determined by the bottle height, which is relatively constant, while the active-fluidics system is paired with a cassette that contains pressure sensors to monitor intraocular pressure changes. The active-fluidics system allows surgeons to preset a target intraocular pressure value, and it replenishes the fluids proactively; thus, the intraocular pressure is consistently maintained near the target value. Under such circumstances, stable intraocular pressure and anterior chamber volume values could be acquired. Research on surgical safety, efficiency and results have reported several strengths of the active-fluidics system. It is also advantageous in some complicated cataract surgeries. However, the system is not widely used at present, mainly due to its low penetration rate and high equipment cost. Some of its updates such as the new Active Sentry handpiece showed potential superiority in laboratory studies recently, but there is still further research to be conducted. This article gives an overview of the mechanism and performance of the active-fluidics system, and it is expected to provide clues for future research. |
| first_indexed | 2024-03-09T12:10:16Z |
| format | Article |
| id | doaj.art-0de6fa3291114c8aac4d5df22686a494 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T12:10:16Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0de6fa3291114c8aac4d5df22686a4942023-11-30T22:52:22ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112261110.3390/jcm12020611Application of the Active-Fluidics System in Phacoemulsification: A ReviewYu Luo0Guangcan Xu1Hongyu Li2Tianju Ma3Zi Ye4Zhaohui Li5Medical School of Chinese People’s Liberation Army, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese People’s Liberation Army General Hospital, Beijing 100853, ChinaMedical School of Chinese People’s Liberation Army, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese People’s Liberation Army General Hospital, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese People’s Liberation Army General Hospital, Beijing 100853, ChinaMedical School of Chinese People’s Liberation Army, Beijing 100853, ChinaThe fluidics system is an indispensable and primary component of phacoemulsification. Both the gravity-fluidics system and active-fluidics system are commonly used in practice. The irrigation pressure of the gravity-fluidics system is determined by the bottle height, which is relatively constant, while the active-fluidics system is paired with a cassette that contains pressure sensors to monitor intraocular pressure changes. The active-fluidics system allows surgeons to preset a target intraocular pressure value, and it replenishes the fluids proactively; thus, the intraocular pressure is consistently maintained near the target value. Under such circumstances, stable intraocular pressure and anterior chamber volume values could be acquired. Research on surgical safety, efficiency and results have reported several strengths of the active-fluidics system. It is also advantageous in some complicated cataract surgeries. However, the system is not widely used at present, mainly due to its low penetration rate and high equipment cost. Some of its updates such as the new Active Sentry handpiece showed potential superiority in laboratory studies recently, but there is still further research to be conducted. This article gives an overview of the mechanism and performance of the active-fluidics system, and it is expected to provide clues for future research.https://www.mdpi.com/2077-0383/12/2/611cataractphacoemulsificationactive-fluidics systemgravity-fluidics system |
| spellingShingle | Yu Luo Guangcan Xu Hongyu Li Tianju Ma Zi Ye Zhaohui Li Application of the Active-Fluidics System in Phacoemulsification: A Review Journal of Clinical Medicine cataract phacoemulsification active-fluidics system gravity-fluidics system |
| title | Application of the Active-Fluidics System in Phacoemulsification: A Review |
| title_full | Application of the Active-Fluidics System in Phacoemulsification: A Review |
| title_fullStr | Application of the Active-Fluidics System in Phacoemulsification: A Review |
| title_full_unstemmed | Application of the Active-Fluidics System in Phacoemulsification: A Review |
| title_short | Application of the Active-Fluidics System in Phacoemulsification: A Review |
| title_sort | application of the active fluidics system in phacoemulsification a review |
| topic | cataract phacoemulsification active-fluidics system gravity-fluidics system |
| url | https://www.mdpi.com/2077-0383/12/2/611 |
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