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Phaco slice and separate.

S A Arshinoff1

  • 1Humber River Regional Hospital, Ontario, Canada.

Journal of Cataract and Refractive Surgery
|April 13, 1999
PubMed
Summary

Phaco slice and separate is a novel cataract surgery technique that divides the nucleus by slicing, offering advantages over traditional chopping methods. This approach requires minimal phaco time and is effective across various nuclear densities.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Cataract Surgery

Background:

  • Traditional cataract surgery utilizes chopping or snapping techniques to fragment the nucleus.
  • These methods have limitations regarding nuclear density and phaco time.

Purpose of the Study:

  • To introduce and describe the "Phaco slice and separate" technique for cataract surgery.
  • To evaluate its applicability across different nuclear densities and compare its efficiency with sculpting techniques.

Main Methods:

  • The technique involves slicing the phaco-tip-stabilized nucleus with a Nagahara chopper.
  • The nucleus is then separated into halves, and pieces are sliced, emulsified, and aspirated.
  • Emulsification and aspiration can be deferred until after slicing is complete.

Main Results:

  • Phaco slice and separate is effective for a broader range of nuclear densities compared to other chopping techniques.
  • The technique requires minimal sculpting and significantly reduces phaco time.
  • Required phaco time is relatively independent of nuclear density.

Conclusions:

  • Phaco slice and separate offers an effective alternative to traditional nucleus fragmentation methods in cataract surgery.
  • It provides advantages in terms of versatility across nuclear densities and reduced operative time.

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