Phacoemulsification refers to modern
cataract surgeryin which the eye's internal lens is emulsified with an ultrasonic handpiece, and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution, thus maintaining the anterior chamber, as well as cooling the handpiece.
Preparation and precautions
The eye is a delicate organ, requiring extreme care before, during and after a surgical procedure. An expert
ophthalmologistmust identify the need for phacoemulsification and be in charge of conducting the procedure safely. Many university programs allow patients to specify if they want to be operated upon by the consultant or the resident / fellow.
Proper anesthesia is a must for any eye surgery.
Topical anesthesiais most commonly employed, using tetracaineeyedrops or lidocainegel. Alternatively, lidocaine and/or longer-acting marcaineanesthestic may be injected into the area surrounding ( peribulbar block) or behind ( retrobulbar block) the eye muscle cone to more fully immobilize the extraocular muscles and minimize pain sensation. A facial nerve block using Lidocaineand Bupivacainemay occasionally be performed to reduce lid squeezing. General anesthesiais recommended for children, traumatic eye injuries with cataract, and for very apprehensive or uncooperative patients. Cardiovascular monitoring is preferable in local anesthesiaand is mandatory in general anesthesia. Proper sterile precautions are taken to prepare the area for surgery, including use of antiseptics like povidone-iodine. Sterile drapes, gowns and gloves are employed. A plastic sheet with a receptacle helps collect the fluids during phacoemulsification. An eye speculum is inserted to keep the eyelids open.
Before the Phacoemulsification can be performed, one or more incisions are made in the eye to allow the introduction of surgical instruments. The surgeon then removes the anterior face of the capsule that contains the lens inside the eye. Phacoemulsification surgery involves the use of a machine with microprocessor-controlled
fluid dynamics. These can be based on peristalticor venturi type of pump. The phaco probe is an ultrasonic handpiece with a titanium or steel needle. The tip of the needle vibrates at ultrasonic frequency to sculpt and emulsify the cataract while the pump aspirates particles through the tip. In some techniques, a second fine steel instrument called a "chopper" is used from a side port to help with chopping the nucleus into smaller pieces. The cataractis usually broken into two or four pieces and each piece is emulsified and aspirated out with suction. The nucleus emulsification makes it easier to aspirate the particles. After removing all hard central lens nucleus with phacoemulsification, the softer outer lens cortex is removed with suction only. An irrigation-aspiration probe or a bimanual system is used to aspirate out the remaining peripheral cortical matter, while leaving the posterior capsule intact. As with other extracapsular cataract extractionprocedures, an intraocular lens implant (IOL), is placed into the remaining lens capsule. For implanting a PMMA IOL, the incision has to be enlarged. For implanting a foldable IOL, the incision does not have to be enlarged. The foldable IOL, made of silicone or acrylic of appropriate power is folded either using a holder/folder, or a proprietary insertion device provided along with the IOL. It is then inserted and placed in the posterior chamber in the capsular bag (in-the-bag implantation). Sometimes, a sulcus implantation may be required because of posterior capsular tears or because of zonulodialysis. Because a smaller incision is required, few or no stitches are needed and the patient's recovery time is usually shorter when using a foldable IOL. [ [http://www.surgeryencyclopedia.com/Pa-St/Phacoemulsification-for-Cataracts.html Surgery Encyclopedia - Phacoemulsification for cataracts] ] [ [http://www.surgeryencyclopedia.com/Ce-Fi/Extracapsular-Cataract-Extraction.html Surgery Encyclopedia - Extracapsular cataract extraction] ] .
Charles Kelmanintroduced phacoemulsification in 1967 after being inspired by his dentist's ultrasonic probe.
* [http://www.clinicareinoso.com/conditns/qx_cat.htm A web site that contains a description and animation illustrating the phacoemulsification process]
* [http://www.phacotraining.com A web site that contains information on Phacoemulsification training]
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