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Nucleus management tips and pearls in phaco and SICS

Poster Details

First Author: D.Nath INDIA

Co Author(s):                  

Abstract Details



Purpose:

To study variety of techniques in Phacoemulsification and in MSICS according to the grade of cataract and the size of nucleus

Setting:

Dharmendra eye center Agra - India

Methods:

Phacoemulsification and Manual Small Incision Cataract Surgery are the mostWidely practiced methods of cataract surgery and mastering both is desirable. We have gone through a journey elucidating the avoidance of pitfalls of Phaco and SICS. Total 350 cases were selected with exclusion criteria phacoemulsification and SICS was performed in Topical / Peribulbar anaesthesia. Stop and chop and Quick chop modifications were performed during Phacoemulsification. Phacosandwich/Phacosection/MD-II Procedure were performed . To achieve best Visual outcome endothelial protection done under soft-shell technique. The video assisted presentation will have all chopping techniques and the way to Perform Phacosandwich/Phacosection/MD-IIProcedure in different grades of Cataracts and on the size of hard core nucleus.

Results:

Endothelial damage and PC repture were more in very hard cases during Phacoemulsification. To get pristine cornea in very hard cataract and if nucleus Core is more then7.5mm-8mm SICS techniques are the best to protect endothelium and PC Repture.

Conclusions:

Phaco is good for cataract grade i,ii,iii,iv. SICS procedure is good in very hard cataract/Nigra/Morgagnion. SICS saves time ,fast, economical and bails out surgeons from landing many complications. FINANCIAL INTEREST: NONE

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