Incision construction for Phacoemulsification

Incision construction is critical to a successful phacoemulsification procedure. The incision needs to be accurately sized for the size of the phacoemulsification tip to be used. Today's microincision corneal procedures utilize an incision of 2.5 mm or smaller that must accommodate a micro phaco tip.
The square configuration of
the 2.2 mm incision and nearly square 3.0 mm incision
is stable and along with diligent confirmation of incisional
sealing, prevents hypotony during the immediate
postoperative period. In addition, although the
IOP should be set high after refilling the anterior chamber
with BSS to ensure proper wound apposition of the
internal wound lips, it can and should be set at physiologic
levels at the end of the procedure in the presence
of a sealed, square, clear corneal incision.

Category:

Education

Tags:

• Ophthalmology
• wound construction
• corneal incision
• incisions for phaco
• phacoemulsification
• cataract
• eye operation technique.

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