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Related Experiment Video

Updated: Nov 17, 2025

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation
04:59

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation

Published on: July 7, 2023

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One-Handed Rotational Phacoemulsification Technique.

Samuele Gigliola1, Giancarlo Sborgia1, Alfredo Niro2

  • 1Eye Clinic, Depatment of Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy.

Clinical Ophthalmology (Auckland, N.Z.)
|February 12, 2021
PubMed
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This one-handed rotational phacoemulsification technique uses high vacuum and low ultrasound power to minimize corneal stress and surgical time during cataract surgery, improving patient outcomes.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Cataract Surgery

Background:

  • Cataract surgery aims to reduce intraocular surgical stress.
  • Phacoemulsification techniques are continuously refined for improved outcomes.

Purpose of the Study:

  • To describe a novel one-handed rotational phacoemulsification technique.
  • To evaluate its efficacy in reducing phaco time, power, and corneal stress.

Main Methods:

  • A single, sutureless corneal incision was utilized.
  • High vacuum and low ultrasound energy with torsional mode were employed.
  • Rotational aspiration of the nucleus from periphery to center was performed.

Main Results:

  • Postoperative visual acuity improved from 20/100 to 20/20.
Keywords:
cataract surgeryone-handed phacoemulsificationphaco-rollingsingle corneal incision

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  • Low intraoperative parameters were recorded: 21.4s ultrasound time, 73% power, 31mL BSS, CDE 7.27.
  • Minimal corneal changes (12 µm CCT increase) and 1.15% endothelial cell loss were observed.

    • Conclusions:

    • The technique effectively reduces surgical maneuvers, fluid turbulence, and ultrasound energy.
    • It offers a potentially safer and more efficient approach to cataract removal.
    • This method minimizes stress on the cornea during phacoemulsification.