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Phacoemulsification is a cataract surgery method in which the internal lens of the eye which has developed a cataract is emulsified with the tip of an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the volume of the anterior chamber during the procedure.
Intracapsular cataract extraction has been superseded where the facilities for surgery under a microscope are available except for cases where the lens capsule cannot be retained, and couching is no longer used in mainstream medicine. In phacoemulsification (phaco), the natural lens is fragmented by an ultrasonic probe and removed by suction.
In 2009, Praputsorn Kosakarn described a method for manual fragmentation of the lens, called "double-nylon loop", which consists in splitting the lens into three pieces for extraction, allowing a smaller, sutureless incision of 4.0 to 5.0 mm (0.16 to 0.20 in), and requires implantation of a foldable IOL. This technique uses less expensive ...
Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
Cataract surgery, using a temporal approach phacoemulsification probe (in right hand) and "chopper" (in left hand) being done under operating microscope at a Navy medical center A cataract is an opacification or cloudiness of the eye's crystalline lens due to aging, disease, or trauma that typically prevents light from forming a clear image on ...
A Cochrane review found little to no difference in visual acuity as a function of the size of incisions made for phacoemulsification in the range from ≤ 1.5 mm to 3.0 mm. [60] Extracapsular cataract extraction (ECCE) consists of removing the lens manually, but leaving the majority of the capsule intact. [61]
At that point, they may suggest prescription-strength acne treatment or a comendo extraction procedure. But first, consider one of these over-the-counter treatments: A topical retinoid , which ...
From then on the procedure was widespread throughout the world. Evidence shows that couching was widely practiced in China, Europe and Africa. After the 19th century AD, with the development of modern cataract surgery (Intra ocular extraction of lens (1748)), couching fell out of fashion, though it is still used in parts of Asia and Africa.