Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique
We describe a surgical technique for manual small-incision cataract extraction with 2-mm chord incision with phacofracture. The authors describe a curvilinear 2-mm chord incision 1.5 mm behind the limbus and antiparallel to the limbus with back cuts of variable length; 1.5 mm for foldable lenses and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4070;epage=4072;aulast= |
| _version_ | 1798018673542168576 |
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| author | Amulya Sahu Jatinder Bali Chinmaya Sahu Nilutparna Deori |
| author_facet | Amulya Sahu Jatinder Bali Chinmaya Sahu Nilutparna Deori |
| author_sort | Amulya Sahu |
| collection | DOAJ |
| description | We describe a surgical technique for manual small-incision cataract extraction with 2-mm chord incision with phacofracture. The authors describe a curvilinear 2-mm chord incision 1.5 mm behind the limbus and antiparallel to the limbus with back cuts of variable length; 1.5 mm for foldable lenses and 2.5–3 mm for the rigid nonfoldable lenses. Continuous curvilinear capsulorhexis with a 26-G bent needle cystitome (or Utrata forceps) is followed by cortical cleaving hydrodissection and cartwheeling of the nucleus into the anterior chamber. A specially designed Sahu modified vectis (SMV) and a flattened visco cannula are used for the phacofracture. The heminuclei are removed along their longitudinal axis and direct implantation of the pseudophakos. Surgically induced astigmatism was found to be a mean change in astigmatism of 0.14 DCyl when the axis was ignored. Corneal endothelial counts were not vastly different from the routine manual small-incision and phacoemulsification at 3 months of follow-up. The technique used here by the surgeon for cataracts of any C (1–5) or any P (1–5) to grade NC4 NO4 as graded by the LOCS III. Case selection is of paramount importance. Two-millimeter chord MSICS with phacofracture can deliver low astigmatism and good visual recovery in cataract surgery. |
| first_indexed | 2024-04-11T16:28:16Z |
| format | Article |
| id | doaj.art-8e91eec57bee44bb9ef69cc0e91cb839 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-11T16:28:16Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-8e91eec57bee44bb9ef69cc0e91cb8392022-12-22T04:14:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170114070407210.4103/ijo.IJO_1287_22Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical techniqueAmulya SahuJatinder BaliChinmaya SahuNilutparna DeoriWe describe a surgical technique for manual small-incision cataract extraction with 2-mm chord incision with phacofracture. The authors describe a curvilinear 2-mm chord incision 1.5 mm behind the limbus and antiparallel to the limbus with back cuts of variable length; 1.5 mm for foldable lenses and 2.5–3 mm for the rigid nonfoldable lenses. Continuous curvilinear capsulorhexis with a 26-G bent needle cystitome (or Utrata forceps) is followed by cortical cleaving hydrodissection and cartwheeling of the nucleus into the anterior chamber. A specially designed Sahu modified vectis (SMV) and a flattened visco cannula are used for the phacofracture. The heminuclei are removed along their longitudinal axis and direct implantation of the pseudophakos. Surgically induced astigmatism was found to be a mean change in astigmatism of 0.14 DCyl when the axis was ignored. Corneal endothelial counts were not vastly different from the routine manual small-incision and phacoemulsification at 3 months of follow-up. The technique used here by the surgeon for cataracts of any C (1–5) or any P (1–5) to grade NC4 NO4 as graded by the LOCS III. Case selection is of paramount importance. Two-millimeter chord MSICS with phacofracture can deliver low astigmatism and good visual recovery in cataract surgery.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4070;epage=4072;aulast=2-mm incisionastigmatismchord incisionmanual small-incision cataract surgeryphacofracture |
| spellingShingle | Amulya Sahu Jatinder Bali Chinmaya Sahu Nilutparna Deori Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique Indian Journal of Ophthalmology 2-mm incision astigmatism chord incision manual small-incision cataract surgery phacofracture |
| title | Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique |
| title_full | Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique |
| title_fullStr | Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique |
| title_full_unstemmed | Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique |
| title_short | Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique |
| title_sort | two mm chord manual small incision cataract surgery with phacofracture a brief exposition of the surgical technique |
| topic | 2-mm incision astigmatism chord incision manual small-incision cataract surgery phacofracture |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4070;epage=4072;aulast= |
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