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MICS, mastering the critical steps
Author(s) -
BELLUCCI R
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.4243.x
Subject(s) - capsulorhexis , phacoemulsification , forceps , bottle , materials science , biomedical engineering , surgery , medicine , composite material , visual acuity
Although every manoeuvre has to be modified for MICS, there are some more critical steps. Capsulorhexis through 1.8 mm incision requires a dedicated forceps, usually coaxial, that should be appropriately managed. However it is easier than capsulorhexis through larger incision, because of the improved visibility and chamber stability. The fluidics control of MICS is also different from that of standard phacoemulsification, and includes low hysteresis of the system, reduced fluid volumen, dual control of vacuum and ultrasound, and the removal of lens particles from the aspiration line. With this “microfluidics” of phacoemulsification there is no need to increase the bottle height above 90 cm.