Ophthalmology

Bimanual Phaco: Mastering the Phakonit/MICS Technique by Amar Agarwal MS FRCS FRCOphth

By Amar Agarwal MS FRCS FRCOphth

One of the most popular issues in ophthalmology and cataract surgical procedure this day is bimanual phaco. Take your surgical talents to new heights with Bimanual Phaco: learning the Phakonit/MICS Technique.

Technological advances have introduced this microincisional surgical procedure (MICS) to the vanguard of the sector in protection and accuracy. Written by means of the pioneer of bimanual phaco, Dr. Amar Agarwal, this break-through textual content covers all facets of bimanual phaco and the way you could grasp the process. Bimanual Phaco will clarify tips on how to deal with issues and the implantation of assorted ultrasmall incision IOLs.

With world-renowned contributions from 25 of the world's specialists in cataract surgical procedure, key issues on the finish of every bankruptcy, and over 2 hundred colour images and illustrations, Bimanual Phaco will release state-of-the-art doctor into the longer term and the recent period of one mm cataract surgical procedure.

Dr. Amar Agarwal is the prestigious winner of the 4th Kelman Award provided via the Hellenic Society of Intra Ocular Implant and Refractive surgical procedure

Dr. Amar Agarwal is the prestigious winner of the Barraquer Award awarded by way of the Keratomileusis research Group

Inside you'll Find:

  • The evolution of bimanual phaco.
  • The significance of temperature in bimanual phaco.
  • Use of the air pump.
  • Topography and significance of fluidics in bimanual phaco.
  • The tools and machines for bimanual phaco.
  • Various surgical recommendations comparable to 3 port bimanual phaco and refractive lens alternate.
  • Ultrasmall incision IOLs and their implantation.

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Extra info for Bimanual Phaco: Mastering the Phakonit/MICS Technique

Sample text

2 mm depending on which size knife is chosen by the surgeon. 8-mm phaco needle. Knives for bimanual phaco can be either sapphire (Figure 6-2) or stainless steel. The Sapphire Phakonit knife has been made by Huco (Switzerland). 2 mm valve. A stainless steel blade has been made by Microsurgical Technology (MST, Redmond, Wash). 4 mm (Figure 6-3).

This is similar to the curvature of the long end of an ellipse. In Figure 5-4, we will notice the values written on the right end of the pictures. These indicate the astigmatic values—Max K is 45 at 84 degrees and Min K is 44 at 174 degrees. 0 D at 84 degrees. This is with-the-rule astigmatism, as the astigmatism is “plus” at the 90 degrees axis. If the astigmatism was “plus” at 180 degrees, then it is against-the-rule astigmatism. The normal corneal topography can be round, oval, irregular, symmetric bow tie, or asymmetric bow tie in appearance.

J Cataract Refract Surg. 2002;28:1039-1043. 2. Soscia W, Howard JG, Olson RJ. Microphacoemulsification with WhiteStar: a wound-temperature study. J Cataract Refract Surg. 2002;28:1044-1046. 3. Donnenfeld ED, Solomon R, Finger PT, et al. 2-mm incision. J Cataract Refract Surg. 2003;29:1097-1100. 4. Bissen-Miyajima H, Shimmura S, Tsubota K. Thermal effect on corneal incisions with different phacoemulsification ultrasonic tips. J Cataract Refract Surg. 1999;25:60-64. Chapter 3 THERMAL BURN STUDIES IN ANIMAL EYES Hiroshi Tsuneoka, MD I NTRODUCTION There are two different types of procedures used in emulsification of the nuclei: nonoccluded emulsification and occluded emulsification (Figure 3-1A and B).

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