phacoemulsification
Sign in to savePhacoemulsification is a cataract surgery method in which the internal lens of the eye which has developed a cataract is emulsified with the tip of an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the volume of the anterior chamber during the procedure. This procedure minimises the incision size and reduces the recovery time and risk of surgery-induced astigmatism.
Key facts
- Medical intervention.Name
- Phacoemulsification
- Medical intervention.Image
- Cataract surgery.jpg
- Medical intervention.Caption
- Phacoemulsification: Cataract surgery, by a temporal approach, using a phacoemulsification probe (in right hand) and "chopper"(in left hand), being done under operating microscope at a United States Navy medical center
- Medical intervention.MeshID
- D018918
via Wikipedia infobox
Research
18,248 papers- Phacoemulsification with and without iStent: A Systematic Review and Meta-Analysis of Comparative Studies.Ophthalmic research · 2023
- Phacoemulsification in review: Optimization of cataract removal in an in vitro setting.Survey of ophthalmology · 2019
- New phacoemulsification technologies.Journal of cataract and refractive surgery · 2002
- Outcomes of Phacoemulsification With or Without Kahook Dual Blade Goniotomy for Glaucoma Patients With Cataract.Journal of glaucoma · 2024
- Phacoemulsification and modern cataract surgery.Survey of ophthalmology · 1999
via PubMed
Wikidata facts
- Image
- Cataract surgery.jpg
Show 1 more fact
- ICD-9-CM
- 13.41
Sources (2)
via Wikidata · CC0
~30 min read
Article
33 sectionsContents
- Etymology
- Contraindications
- Mechanism
- Ultrasound
- Aspiration
- Irrigation
- Preparation and precautions
- Anaesthesia
- Site preparation
- Surgical technique
- Incision
- Coaxial
- Bimanual
- Maintaining the eye shape
- Capsulorhexis
- Preparation of the lens for emulsification
- {{anchor|Pre-chopping}} Prechopping
- Hydrodissection
- Emulsification of the cataract
- Lens insertion
- Removal of OVDs
- Wound sealing
- Contingency procedures
- Complications
- During surgery
- After surgery
- Recovery and rehabilitation
- Outcomes
- History
- Research
- See also
- Notes
- References
Phacoemulsification is a cataract surgery method in which the internal lens of the eye which has developed a cataract is emulsified with the tip of an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the volume of the anterior chamber during the procedure. This procedure minimises the incision size and reduces the recovery time and risk of surgery-induced astigmatism.
It is best suited to relatively soft cataracts, where the ultrasonic energy required is moderate, and insertion of foldable intraocular prosthetic lenses, which take advantage of the small incision possible. It is the most common procedure for cataract removal in the developed world, with an excellent prognosis in uncomplicated cases.