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Innovative fluidics in phacoemulsification

Session Details

Session Title: Phaco Techniques

Session Date/Time: Saturday 05/10/2013 | 08:30-10:30

Paper Time: 09:16

Venue: Main Lecture Hall (Ground Floor)

First Author: : K.Tjia THE NETHERLANDS

Co Author(s): :                  

Abstract Details


To compare torsional emulsification efficiency and anterior chamber stability of a new innovative fluidics system with an existing fluidics system


Isala Clinics, Zwolle, the Netherlands


A new innovative fluidics management system that is able to maintain a certain target intraocular pressure during phacoemulsication procedures was evaluated. Anterior chamber stability was assessed during surgery at various vacuum settings. Aspiration flow was set at 25 ml/min. Phacoemulsification efficiency was estimated from cumulative dissipated energy delivery numbers and personal impression. The current phaco machine was set at the routinely used vacuum, 300 mm Hg, and 25 ml/min aspiration flow. All surgeries were performed with the 0.9 minitip and torsional ultrasound.


During the initial evaluation, which could not include a prospective randomized comparative trial, the new fluidics system was used with vacuum settings up to 600 mm Hg. With a moderate target IOP of 40 mm Hg, anterior chamber stability was excellent. Very little indications of IOP variation, which are commonly observed with a traditional gravity fed irrigation line, were observed. Torsional emulsification seems significantly more efficient compared to the current system with vacuum set at 300 mm Hg. Preliminary results indicate a 30% lower energy delivery.


A new phacoemulsification machine with an innovative fluidics system seems to provide superior emulsification efficiency and an enhanced anterior chamber stability.

Financial Interest:

... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

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