Phacoemulsification principles and techniques pdf

There is little likelihood of effective prevention becoming available in the next few years and so the only treatment will remain surgical. For many of the other major causes of world blindness, like trachoma, xerophthalmia and onchocerciasis, the remedy is community-based, not hospital-based, and requires prevention rather than treatment. The prevalence of blinding cataract will only increase as people live longer, so cataract will continue to be, by far, the most important treatable cause of blindness. Cataract surgical techniques have changed enormously in the last ten years, both in the developed world and the developing world, and will undoubtedly continue to change at an ever-increasing rate. Phacoemulsification is now the standard, and almost the only procedure in the developed world. An effective cataract surgeon in the developing world is one who is doing high volume, low cost and low complication surgery.

We describe an approach to cataract phacoemulsification that uses the carouseling technique within the capsular bag. This is made possible by a newly designed phacoemulsification tip with 3 unique modifications: a degree right bend in the tip, a semicircular opening, and a third irrigation port.
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