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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2007, Number 6

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Rev Mex Oftalmol 2007; 81 (6)

Faconit: técnica de facoemulsificación de catarata, análisis y resultados

Ibáñez-Hernandez MÁ, Ángulo-Lara Y, Eugarrios-Largaespada MF
Full text How to cite this article

Language: Spanish
References: 10
Page: 345-349
PDF size: 89.35 Kb.


Key words:

Phacoemulsification, Phakonit, microincisión.

ABSTRACT

Objective: To analyze the results of the Phakonit technique for cataract extraction.
Patients and methods: A prospective, longitudinal and observational study was carried out in 34 patients who underwent phacoemulsification with Phakonit technique through an incision of 1.2 mm. Two types of intraocular lens were implanted, 12 (33.33%) were a ThinOptx intraocular lens implanted, and 24 (66.66%) were an Acrysoft lens. In all patients visual acuity and keratometries were taken before and after surgery (4 weeks).
Results: Average age was 60.58 year. Postoperative visual acuity was 20/20 in 17 eyes (47.22%), 20/25 in 11 eyes (20.55%), 20/30 in 4 eyes (11.11%), 20/40 in 1 eye (2.77%), 20/50 in one eye (2.77%), 20/200 in one eye (2.77%) and light perception in 1 eye (2.77%). Visual acuity inferior to 20/50 was seen in patients with glaucoma, posterior capsule opacification and advanced proliferative diabetic retinopathy. The average of induced astigmatism in patients with a ThinOptx lens was 0.06D in the 4th week. In patients with Acrysoft lens implants the average induced astigmatism was 0.16 D.
Conclusions: The Phakonit technique is effective, safe and reproducible. In order to avoid complications, it is necessary to have a clear understanding of the technique and to have surpassed its associated learning curve.


REFERENCES

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  2. Mamalis N. Is smaller better? J Cataract Refract Surg 2003; 29:1049-1050.

  3. Soscia W, Howard JG, Olson RJ. Bimanual phacoemulsification through 2 stab incisions. A wound temperature study. J Cataract Refrac Surg 2002; 28(6):1039-1043.

  4. Tsuneoka H, Shiba T, Takahashi Y. Feasibility of ultrasound cataract surgery with a 1.4mm incision. J Cataract Refract Surg 2001; 27(6):934-940.

  5. Tsuneoka H, Hayama A, Takahama M. Ultrasmall-incision bimanual phacoemulsification and AcrySof SA30AL implantation through a 2.2 mm incision. J Cataract Refract Surg 2003; 29(6):1070-1076.

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  7. Soscia W, Howard JG, Olson RJ. Microphacoemulsificacion with WhiteStar. A wound temperature study. J Cataract Refract Surg 2002; 28(6):1044-1046.

  8. Pandey S, Agarwal A, Hoyos J, Callahan S. Phaconit: Cataract Removal Through a Sub 1.0 mm Incision and Implantation of the ThinOptX Rollable Intraocular Lens. J Cataract Refract Surg. 2002; 28(9):1710-1713.

  9. Tsuneoka H, Shiba T, Takahashi Y. Ultrasonic phacoemulsificatin using a 1.4 mm incision: clinical results. J Cataract Refract Surg 2002; 28(1):81-86.

  10. Vejarano F, Vejarano A, Vejarano M, Tello A. La técnica más segura y efectiva de microincisión en cirugía de catarata. Highlights of Ophthalmology 2004; 32(2):13-19.




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Rev Mex Oftalmol. 2007;81