Cataract surgery using the bimanual phacoemulsification technique with an Accurus system and Mackool microphaco tip.

Abstract

PURPOSE:

To investigate the safety and effectiveness of the Accurus vitreoretinal and phacoemulsification system (Alcon, Inc.) for bimanual phacoemulsification surgery.

SETTING:

Kosei Chuo Hospital, Tokyo, Japan.

METHODS:

Phacoemulsification for age-related cataract was performed using a bimanual technique in 55 eyes and a coaxial technique in 31 eyes. The Accurus system with a venturi pump and a sleeveless ultrasonic tip or a Mackool microphaco tip was used in all cases. The 2 techniques were compared. In bimanual phacoemulsification, the 2 tips were evaluated to determine whether either reduced ocular tissue impairment.

RESULTS:

The mean best corrected visual acuity 1 day after the surgery was 20/20 in both groups. There was no significant difference between the bimanual group and coaxial group except in ultrasound output (bimanual 22%, coaxial 28%; P = .01). Iris impairment was observed only in the bimanual group but was reduced by the use of the Mackool sleeved microphaco tip.

CONCLUSION:

Bimanual phacoemulsification for cataract surgery using the Accurus system with a venturi pump and a Mackool microphaco tip was safe and effective and may provide a means of performing combined or successive cataract and vitreoretinal surgery.

• Authors: Takao Tanaka, Satomi Koshika, Masahiko Usui
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 33 Issue 10 Pg. 1770-4 (Oct 2007) ISSN: 0886-3350 [Print] United States
• PMID: 17889775 (Publication Type: Comparative Study, Journal Article)

Topics

• Aged
• Cell Count
• Endothelium, Corneal (pathology)
• Female
• Humans
• Intraocular Pressure
• Lens Implantation, Intraocular
• Male
• Phacoemulsification (adverse effects, instrumentation, methods)
• Treatment Outcome
• Visual Acuity