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Phaco rolling technique.
J Cataract Refract Surg. 2004 Oct; 30(10):2043-5.JC

Abstract

We describe a phacoemulsification technique for soft and medium-hard cataracts to decrease phaco time and enhance the safety of the procedure. After conventional hydrodissection and hydrodelamination are performed, a 15- or 30-degree phaco tip is positioned on the peripheral lens beside the capsulorhexis edge and in contact with the nucleus-epinucleus interface. The lens is then aspirated onto the phaco tip. Phacoemulsification is started with the ultrasound energy level limited to 15% to 25% depending on the nuclear hardness and with linear aspiration power up to 250 mmHg. The phaco tip is slightly displaced to the vertex of the pupil to keep it occluded, and the lens is rotated. The phaco tip is placed in the same area and a modified manipulator used to keep the lens in a horizontal position during rotational movement. The small, hard, central nucleus is usually emulsified at the end.

Authors+Show Affiliations

Institute de Microcirugía Ocular, Barcelona, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15474811

Citation

Güell, Jose L., et al. "Phaco Rolling Technique." Journal of Cataract and Refractive Surgery, vol. 30, no. 10, 2004, pp. 2043-5.
Güell JL, Vázquez M, Lucena J, et al. Phaco rolling technique. J Cataract Refract Surg. 2004;30(10):2043-5.
Güell, J. L., Vázquez, M., Lucena, J., Velasco, F., & Manero, F. (2004). Phaco rolling technique. Journal of Cataract and Refractive Surgery, 30(10), 2043-5.
Güell JL, et al. Phaco Rolling Technique. J Cataract Refract Surg. 2004;30(10):2043-5. PubMed PMID: 15474811.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Phaco rolling technique. AU - Güell,Jose L, AU - Vázquez,Mercedes, AU - Lucena,Jose, AU - Velasco,Fortino, AU - Manero,Felicidad, PY - 2004/02/10/accepted PY - 2004/10/12/pubmed PY - 2004/12/17/medline PY - 2004/10/12/entrez SP - 2043 EP - 5 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 30 IS - 10 N2 - We describe a phacoemulsification technique for soft and medium-hard cataracts to decrease phaco time and enhance the safety of the procedure. After conventional hydrodissection and hydrodelamination are performed, a 15- or 30-degree phaco tip is positioned on the peripheral lens beside the capsulorhexis edge and in contact with the nucleus-epinucleus interface. The lens is then aspirated onto the phaco tip. Phacoemulsification is started with the ultrasound energy level limited to 15% to 25% depending on the nuclear hardness and with linear aspiration power up to 250 mmHg. The phaco tip is slightly displaced to the vertex of the pupil to keep it occluded, and the lens is rotated. The phaco tip is placed in the same area and a modified manipulator used to keep the lens in a horizontal position during rotational movement. The small, hard, central nucleus is usually emulsified at the end. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/15474811/Phaco_rolling_technique_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886335004005401 DB - PRIME DP - Unbound Medicine ER -