Skip to main content
SpringerLink
Log in

The Transition Towards Smaller and Smaller Incisions

Micro-Coaxial Phacoemulsification with Torsional Ultrasound

  • Chapter
Minimizing Incisions and Maximizing Outcomes in Cataract Surgery

  • 818 Accesses

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Masket S. Coaxial 2.2 mm microphaco technique reduces surgically induced astigmatism. Ophthalmol Times 2006; 31:41–42

    Google Scholar 

  2. Osher RH, Injev VP. Micro-coaxial phacoemulsification. Part 1: laboratory studies. J Cataract Refract Surg 2007; 33:401–407

    Article  PubMed  Google Scholar 

  3. MacKool RJ, Sirota MA. Thermal comparison of the AdvanTec Legacy, Sovereign WhiteStar, and Millennium phacoemulsification systems. J Cataract Refract Surg 2005; 31:812–817

    Article  PubMed  Google Scholar 

  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

    Article  CAS  PubMed  Google Scholar 

  5. Osher RH, Injev VP. Thermal study of bare tips with various system parameters and incision sizes. J Cataract Refract Surg 2006; 32:867–872

    Article  PubMed  Google Scholar 

  6. Berdahl JP, DeStafeno JJ, Kim T. Corneal wound architecture and integrity after phacoemulsification; evaluation of coaxial, microincision coaxial, and microincision bimanual techniques. J Cataract Refract Surg 2007; 33:510–515

    Article  PubMed  Google Scholar 

  7. Stratas BA. Clear corneal paracentesis: a case of chronic wound leakage in a patient having bimanual phacoemulsifi-cation. J Cataract Refract Surg 2005; 31:1075

    Article  PubMed  Google Scholar 

  8. Weikert MP, Koch DD. Phaco wound study: alterations in corneal wound architecture with bimanual microincisional phacoemulsification. Cataract Refract Surg Today 2005; June:11–13

    Google Scholar 

  9. Praveen MR, Vasavada, AR, Gajjar D, Pandita D, Vasavada VA, Vasavada VA, Raj, SM. Comparative quantifi-cation of ingress of trypan blue into the anterior chamber after micro-coaxial, standard coaxial, and bimanual phacoemulsifi-cation. J Cataract Refrac Surg 2008; 34:1007–1012

    Article  Google Scholar 

  10. Kaid Johar SR, Vasavada AR, Mamidipudi R, et al Histomorphological and immunofluorescence evaluation of bimanual and coaxial phacoemulsification incisions in rabbits. J Cataract Refract Surg 2008; 34:670–676

    Article  Google Scholar 

  11. Vasavada AR. Phaco tips and corneal tissue: histomorphology and immunohistochemistry reveal the effects of sleeveless and sleeved tips. Cataract Refract Surg Today 2005; June:9–10

    Google Scholar 

  12. Taban M, Sarayba MA, Ignacio TS, et al Ingress of India ink into the anterior chamber through sutureless clear corneal cataract wounds. Arch Ophthalmol 2005; 123:643–648

    Article  PubMed  Google Scholar 

  13. Gajjar D, Mamidipudi R, Vasavada A, et al Ingress of bacterial inoculum into the anterior chamber after bimanual and micro-coaxial phacoemulsification in rabbits. J Cataract Refract Surg 2007; 33:2129–2134

    Article  PubMed  Google Scholar 

  14. Chee S-P, Bacsal K. Endophthalmitis after microincision cataract surgery. J Cataract Refract Surg 2005; 31:1834–1835

    Article  PubMed  Google Scholar 

  15. Boukhny M. Phacoemulsification tips and sleeves. In: Buratto L, Werner L, Zanini M, Apple D, eds, Phacoemul-sification Principles and Techniques, 2nd edn. Thorofare, NJ, Slack, 2003; 247–254

    Google Scholar 

  16. Ernest PH, Fenzl R, Lavery KT, Sensoli A. Relative stability of clear corneal incisions in a cadaver eye model. J Cataract Refract Surg 1995; 21:39–42

    CAS  PubMed  Google Scholar 

  17. Masket S, Belani S. Proper wound construction to prevent short-term ocular hypotony after clear corneal incision cataract surgery. J Cataract Refract Surg 2007; 33:383–386

    Article  PubMed  Google Scholar 

  18. Dosso AA, Cottet L, Burgener ND, Di Nardo S. Outcomes of coaxial microincision cataract surgery versus conventional coaxial cataract surgery. J Cataract Refract Surg 2008; 34:284–288

    Article  PubMed  Google Scholar 

  19. Osher RH. Micro-coaxial phacoemulsification. Part 2: clinical study. J Cataract Refract Surg 2007; 33:408–412

    Article  PubMed  Google Scholar 

  20. Cionni RJ. Torsional to longitudinal phacoemulsification comparison. In: American Society of Cataract and Refractive Surgery Annual Meeting, San Francisco, 2006

    Google Scholar 

  21. Miyoshi T, Yoshida H. From phaco-cutting to true pha-coemulsification. VJCRS 2007; XXIII(4)

    Google Scholar 

  22. Fernandez de Castro LE, Sandoval HP, Vroman DT, Solomon KD. Fluid dynamics during phacoemulsification; fluid dispersion check model. In: American Society of Cataract and Refractive Surgery Annual Meeting, San Diego, 2007

    Google Scholar 

  23. Solomon K. Alcon CME Program, American Academy of Ophthalmology, San Fransisco, 2006

    Google Scholar 

  24. Osher J, Osher R. Understanding the dropped nucleus. Video J Cataract Refract Surg 2008; XXIV(4)

    Google Scholar 

  25. Boukhny M. Laboratory performance comparison of tor-sional and conventional longitudinal phacoemulsification. In: Annual Meeting of American Society of Cataract and Refractive Surgery, San Francisco, 17–22 March 2006

    Google Scholar 

  26. Allen D. Efficient surgery with a new torsional phaco mode. In: Annual Meeting of the American Society of Cataract and Refractive Surgery, San Francisco, 17–22 March 2006

    Google Scholar 

  27. Yoo S. Transitioning to torsional phaco emulsification. Cataract Refract Surg Today 2006; (supplement):7–8

    Google Scholar 

  28. Tjia KF. Efficiency of torsional versus longitudinal ultrasound. Cataract Refract Surg Today Europe 2008; May:33–34

    Google Scholar 

  29. Liu Y, Zeng M, Liu X, et al. Torsional mode versus conventional ultrasound mode phacoemulsification: randomized comparative clinical study. J Cataract Refract Surg 2007; 33:287–292

    Article  CAS  PubMed  Google Scholar 

  30. Johansson C. Quantitative comparison of longitudinal versus torsional phacoemulsification. In: European Society of Cataract and Refractive Surgeons Annual Meeting, London, 9–13 September 2006

    Google Scholar 

  31. Davison JA. Cumulative tip travel and implied followability of longitudinal and torsional phacoemulsification. J Cataract Refract Surg May 2008; 34:986–990

    Article  Google Scholar 

  32. MacKool RJ. Lens removal/torsional phacoemulsification: advantages of nonlinear ultrasound. In: Annual ASCRS Symposium on Cataract, IOL, and Refractive Surgery, San Francisco, CA, 17–22 March 2006

    Google Scholar 

  33. Allen D. Cataract surgery evolves: new IOL implantation and fluidics technologies make transitioning to a micro-coaxial technique easier and safer. Cataract Refract Surg Today 2007; (Supplement):3–5

    Google Scholar 

  34. Davison JA. Beginning micro-coaxial surgery. Eyeworld Supplement May 2008

    Google Scholar 

  35. Henderson B, Grimes K. Comparison of surgical efficiency using different ultrasound modulation on dense lenses and using varied angled phacoemulsification tips. ASCRS, San Diego, 2007

    Google Scholar 

  36. Osher RH, Marques FF, Marques D.M.V, Osher JM. Slow motion phacoemulsification technique. Tech Ophthalmol 1(2):73

    Google Scholar 

  37. Vaz F, Osher RH. Early uncorrected visual acuity with micro-coaxial phacoemulsification and torsional ultrasound: an independent study. In: Annual Meeting of the ASCRS, San Diego, 2007.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA

    James M. Osher

  2. Department of Ophthalmology, University of Cincinnati and the Cincinnati Eye Institute, Cincinnati, OH, USA

    Robert H. Osher

Authors
  1. James M. Osher
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Robert H. Osher
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Instituto Oftalmológico de Alicante, Department of Ophthalmology, Miguel Hernández University, Av. de Denia, s/n, Alicante, 03016, Spain

    Jorge L. Alió MD, PhD (Professor and Chairman of Ophthalmology Vissum) (Professor and Chairman of Ophthalmology Vissum)

  2. Drs. Fine, Hoffman and Packer, Oregon Health & Science University, 1550 Oak Street, Suite 5, Eugene, OR, 97401, USA

    I. Howard Fine MD

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Osher, J.M., Osher, R.H. (2010). The Transition Towards Smaller and Smaller Incisions. In: Alió, J.L., Fine, I.H. (eds) Minimizing Incisions and Maximizing Outcomes in Cataract Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02862-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-02862-5_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02861-8

  • Online ISBN: 978-3-642-02862-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation