PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery

Phacoemulsification is routinely performed with the patient lying supine on the surgical table with his or her head flat and facing the overhead microscope. This routine technique can be a challenge in medical conditions such as kyphosis, scoliosis, orthopnea, Meniere's disease, and CNS abnorma...

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Main Authors: Jebinth Brayan, Prithvi Chandrakanth, Siddharth Narendran, Kalpana Narendran, Venkatapathy Narendran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=4;spage=1396;epage=1401;aulast=Brayan
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author Jebinth Brayan
Prithvi Chandrakanth
Siddharth Narendran
Kalpana Narendran
Venkatapathy Narendran
author_facet Jebinth Brayan
Prithvi Chandrakanth
Siddharth Narendran
Kalpana Narendran
Venkatapathy Narendran
author_sort Jebinth Brayan
collection DOAJ
description Phacoemulsification is routinely performed with the patient lying supine on the surgical table with his or her head flat and facing the overhead microscope. This routine technique can be a challenge in medical conditions such as kyphosis, scoliosis, orthopnea, Meniere's disease, and CNS abnormality. Some cardiovascular and respiratory conditions make the patients breathless when they lie down, whereas other neurological and spinal problem patients are also equally uncomfortable. The only reasonable solution to conduct surgery on a patient who cannot lie down flat on the operating table is to position them face to face in a sitting position. We describe an innovative phacoemulsification technique in a sitting position called “phacosit” in an 80-year-old wheelchair-bound female patient who was denied cataract surgery by other eye surgeons owing to her medical condition.
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spelling doaj.art-34595e9034e9498ea86c7984c23a8e612022-12-22T03:03:01ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017041396140110.4103/ijo.IJO_2639_21PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgeryJebinth BrayanPrithvi ChandrakanthSiddharth NarendranKalpana NarendranVenkatapathy NarendranPhacoemulsification is routinely performed with the patient lying supine on the surgical table with his or her head flat and facing the overhead microscope. This routine technique can be a challenge in medical conditions such as kyphosis, scoliosis, orthopnea, Meniere's disease, and CNS abnormality. Some cardiovascular and respiratory conditions make the patients breathless when they lie down, whereas other neurological and spinal problem patients are also equally uncomfortable. The only reasonable solution to conduct surgery on a patient who cannot lie down flat on the operating table is to position them face to face in a sitting position. We describe an innovative phacoemulsification technique in a sitting position called “phacosit” in an 80-year-old wheelchair-bound female patient who was denied cataract surgery by other eye surgeons owing to her medical condition.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=4;spage=1396;epage=1401;aulast=Brayancataract surgeryface to faceiol implantationphacoemulsificationsitting phacoemulsification
spellingShingle Jebinth Brayan
Prithvi Chandrakanth
Siddharth Narendran
Kalpana Narendran
Venkatapathy Narendran
PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
Indian Journal of Ophthalmology
cataract surgery
face to face
iol implantation
phacoemulsification
sitting phacoemulsification
title PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
title_full PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
title_fullStr PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
title_full_unstemmed PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
title_short PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
title_sort phacosit a sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery
topic cataract surgery
face to face
iol implantation
phacoemulsification
sitting phacoemulsification
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=4;spage=1396;epage=1401;aulast=Brayan
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AT siddharthnarendran phacositasittingphacoemulsificationtechniqueforpatientsunabletoliedownflatduringcataractsurgery
AT kalpananarendran phacositasittingphacoemulsificationtechniqueforpatientsunabletoliedownflatduringcataractsurgery
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