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PHACOEMULSIFICATION
Pembimbing:
dr. Agah Gadjali, SpM
dr. Gartati Ismail, SpM
dr. Henry A. W, SpM
dr. Hermansyah, SpM
dr. Mustafa K. Shahab, SpM
Disusun oleh:
Anum Sasmita (1102012025)
Dewa Ayu Bulan Nabila (1102012059)
Miftahul Choir (1102010165)
KEPANITER AAN KLINIK ILMU PENYAKIT MATA
FAKULTAS KEDOKTERAN UNIVERSITAS YARSI
RUMAH SAKIT BH AYANGKARA TK. I RADEN SAID SUKANTO
PERIODE 1 6 O K T O B Subtitle
ER 17 NOVEMBER 2017
2.1 Fundamentals of phacoemulsification
2.2 Pivoting and floating technique
PIVOTING
Goals:
low degree of surgically induced trauma
rapid recovery of excellent vision
pivoting technique allows:
a wide range of movement while the instrument is inserted
through a smaller incision.
increased precision, because a large movement outside the pivot
can produce a small movement inside the eye.
Correct technique
Goals:
Keep the eye in primary position.
Any forceful pushing of the instruments within the eye will cause
the eye to move away from the force vector which limit the
surgeons view and maneuverability in the eye.
Floating keeps the instruments away from incision wall.
2.3 Implementation of pivoting techniques at
phacoemulsification stage
1. Corneal Incisions
Hydrodissection
Hydrodissection is performed between the capsule and the
cataract cortex in order to free the adhesions of the cataract from
the capsular bag and allow it to rotate fully.
Hydrodelineation
Hydrodelineation is employed by some surgeons to separate the
endonucleus from the epinucleus. The epinuclear shell can act to
protect the posterior capsule during phacoemulsification of the
endonucleus
4. Nuclear Rotation
Rigid IOLs
These IOLs made entirely of Polymethyl methacrylate
(PMMA) and, due to their rigid nature, they require a larger
incision (6.5mm)
Foldable IOLs
This allows an IOL with an optic size of 6.0mm to be inserted
through an incision of about 3.0-3.5mm, which can be made
safely in the cornea.
Injectable IOLs
This allows the IOL to be completely shielded from contacting
the ocular surface during insertion, and it allows for smaller
incisions of less than 3.0mm, and sometimes even less than
2.0mm
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