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Application of the Active-Fluidics System in Phacoemulsification: A Review
Yu Luo1,2, Guangcan Xu2, Hongyu Li1,2
1Medical School of Chinese People's Liberation Army, Beijing 100853, China.
Journal of Clinical Medicine
|January 21, 2023
Summary
The active-fluidics system in phacoemulsification offers stable intraocular pressure and anterior chamber volume, enhancing surgical outcomes. Despite its benefits, high cost and low adoption limit its widespread use in cataract surgery.
Area of Science:
- Ophthalmology
- Surgical Technology
- Medical Devices
Background:
- Phacoemulsification relies heavily on fluidics systems for cataract surgery.
- Two main types exist: gravity-fluidics and active-fluidics systems.
- Active-fluidics systems utilize pressure sensors for real-time intraocular pressure monitoring.
Purpose of the Study:
- To provide an overview of the active-fluidics system's mechanism and performance.
- To highlight the advantages and limitations of active-fluidics systems in phacoemulsification.
- To identify areas for future research and development.
Main Methods:
- Review of existing literature on phacoemulsification fluidics systems.
- Comparison of gravity-fluidics and active-fluidics system functionalities.
- Analysis of reported surgical outcomes and system performance data.
Main Results:
- Active-fluidics systems maintain consistent intraocular pressure and anterior chamber volume.
- These systems demonstrate strengths in surgical safety, efficiency, and complex cases.
- Current limitations include low market penetration and high equipment costs.
Conclusions:
- Active-fluidics systems offer significant advantages for phacoemulsification.
- Further research and potential cost reductions are needed for wider adoption.
- Recent advancements show promise for improved performance in laboratory settings.

