Prof. Dr.RAJESH GANESUNI

Dr.Durga Chaitanya Kakkera

Abstract

PHACOEMULSIFICATION NEEDS USE OF A PHACO HAND PIECE AND A SECOND INSTRUMENT THROUGH THE SIDE PORT, EITHER A CHOPPER OR SPATULA TO SUPPORT THE NUCLEUS AND AID IN REMOVAL OF THE NUCLEUS SAFELY. THE SECOND INSTRUMENT IS SUPPOSED TO AID IN STABILIZING THE GLOBE DURING INCISIONS, CAPSULORHEXIS, INJECTION OF VARIOUS SURGERY AIDING SOLUTIONS LIKE BSS, VISCO; CHOPPERS, SINSKEY HOOK, SPATULA, ETC; TO AID IN PHACOEMULSIFICATION AND TO STABILIZE THE GLOBE DURING IOL IMPLANTATION AND FINALLY TO FORM THE CHAMBER AT THE END OF THE SURGERY. HOWEVER, USING THE NEW INNOVATIVE TECHNIQUES OF “PHACO SOMERSAULT”, “NINZA CHOP” AND OTHER MANOVEOURS ALL THE STEPS MENTIONED ABOVE OF PHACOMULSIFICATION CAN BE ACCOMPLISHED SAFELY AND SUCCESSFULLY WITH A SINGLE HAND. THIS OPENS UP A WHOLE NEW SCOPE FOR SURGEONS, INNOVATORS AND EQUIPMENT COMPANIES TRYING TO INVENT A SURGICAL TECHNIQUE OR A PROCEDURE IN PHACO SURGERY OR AN INSTRUMENT, BUT COULD NOT DO SO FOR WANT OF A FREE HAND DURING PHACOEMULSIFICATION.