Torsional Phacoemulsification and Tip Selection

One of the recent advances in cataract surgery is torsional phacoemulsification. It was developed to increase the efficacy of ultrasonic emulsification. In torsional phacoemulsification, the torsional movement of the tip is translated to side-to-side cutting action with the aid of bent phaco tips....

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Main Authors: Fırat Helvacıoğlu, Sadık Şencan, Zeki Tunç, Celal Yeter
Format: Article
Language:English
Published: Galenos Yayinevi 2014-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
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author Fırat Helvacıoğlu
Sadık Şencan
Zeki Tunç
Celal Yeter
author_facet Fırat Helvacıoğlu
Sadık Şencan
Zeki Tunç
Celal Yeter
author_sort Fırat Helvacıoğlu
collection DOAJ
description One of the recent advances in cataract surgery is torsional phacoemulsification. It was developed to increase the efficacy of ultrasonic emulsification. In torsional phacoemulsification, the torsional movement of the tip is translated to side-to-side cutting action with the aid of bent phaco tips. Lens material is cut in both directions, rather than only during a forward stroke. The efficiency of this technique is further enhanced by an improvement in followability provided by the inherent non-repulsive nature of the side-to-side motion. Tip selection is very important for the efficiency of torsional phacoemulsification. Theoretically, there are 2 ways to enhance the cutting efficiency of the tip. First is the stroke length; the 22-degree bent 30-degree Kelman mini-flared tip cuts longer than the 12-degree bent 30-degree mini-flared Kelman tip. Second is the angulation or bevel; the higher the degree (45 degrees), the better cutting efficiency. Retrospective analyses of the previously published clinical studies clearly demonstrated that the efficacy of the torsional phacoemulsification has positive correlation with both the aperture angles and neck angles of the tips. (Turk J Ophthalmol 2014; 44: 392-5)
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spelling doaj.art-7e4ed93892a54723b64e71297e10f0612023-02-15T16:07:15ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612014-10-0144539239510.4274/tjo.59389Torsional Phacoemulsification and Tip SelectionFırat Helvacıoğlu0 Sadık Şencan1Zeki Tunç2Celal Yeter3Maltepe University Faculty of Medicine, Department of Ophthalmology, İstanbul, TurkeyMaltepe University Faculty of Medicine, Department of Ophthalmology, İstanbul, TurkeyMaltepe University Faculty of Medicine, Department of Ophthalmology, İstanbul, TurkeyBaşakşehir State Hospital, Department of Ophthalmology, İstanbul, TurkeyOne of the recent advances in cataract surgery is torsional phacoemulsification. It was developed to increase the efficacy of ultrasonic emulsification. In torsional phacoemulsification, the torsional movement of the tip is translated to side-to-side cutting action with the aid of bent phaco tips. Lens material is cut in both directions, rather than only during a forward stroke. The efficiency of this technique is further enhanced by an improvement in followability provided by the inherent non-repulsive nature of the side-to-side motion. Tip selection is very important for the efficiency of torsional phacoemulsification. Theoretically, there are 2 ways to enhance the cutting efficiency of the tip. First is the stroke length; the 22-degree bent 30-degree Kelman mini-flared tip cuts longer than the 12-degree bent 30-degree mini-flared Kelman tip. Second is the angulation or bevel; the higher the degree (45 degrees), the better cutting efficiency. Retrospective analyses of the previously published clinical studies clearly demonstrated that the efficacy of the torsional phacoemulsification has positive correlation with both the aperture angles and neck angles of the tips. (Turk J Ophthalmol 2014; 44: 392-5)Torsional phacoemulsificationphaco tips
spellingShingle Fırat Helvacıoğlu
Sadık Şencan
Zeki Tunç
Celal Yeter
Torsional Phacoemulsification and Tip Selection
Türk Oftalmoloji Dergisi
Torsional phacoemulsification
phaco tips
title Torsional Phacoemulsification and Tip Selection
title_full Torsional Phacoemulsification and Tip Selection
title_fullStr Torsional Phacoemulsification and Tip Selection
title_full_unstemmed Torsional Phacoemulsification and Tip Selection
title_short Torsional Phacoemulsification and Tip Selection
title_sort torsional phacoemulsification and tip selection
topic Torsional phacoemulsification
phaco tips
work_keys_str_mv AT fırathelvacıoglu torsionalphacoemulsificationandtipselection
AT sadıksencan torsionalphacoemulsificationandtipselection
AT zekitunc torsionalphacoemulsificationandtipselection
AT celalyeter torsionalphacoemulsificationandtipselection