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Learning B-MICS: Tips, Tricks and Complications for Surgeons in Training

  Channels: Cataract Surgery | Posted 12/22/2014

Gian Maria Cavallini, MD; Matteo Forlini, MD; Tommaso Verdina, MD; and Veronica Volante, MD; present this video showing different cases of cataract surgery performed by three surgeons in training using B-MICS technique (Bimanual Microincision Cataract Surgery) for the first time, under the supervision of expert surgeons.

We analyze the main surgical steps of B-MICS showing the main intraoperative complications occurred during the first 50 B-MICS cases performed by each of the three surgeons in training (150 cases total). All the main intraoperative complications are presented in order to underline the B-MICS advantages in their surgical management. Out of 150 cataract surgeries we had 18 intraoperative complications (12%) including ten iris traumas (6.6%), four capsule ruptures without vitreous loss (2.7%); three posterior capsule ruptures with vitreous loss (2%) and one IOL implantation in the sulcus due to marked zonular laxity (0.7%). Five post-operative complications (3,3%): two iris prolapses (1.3%); one IOL loop malposition (0.7%); one post-operative hypotalamia (0.7%) and one capsulorhexis phimosis (0.7%).

B-MICS is a safe and effective technique even when performed by surgeons in training; moreover, this technique presents several advantages for the surgical management of intra-operative complications.
(Institute of Ophthalmology, University of Modena & Reggio Emilia, Modena, Italy. Chief: Prof. Gian Maria Cavallini)

Bimanual Phacoemulsification • Cataract Surgery • Iatrogenic


We analyze the main surgical steps of B-MICS showing the main intraoperative complications occurred during the first 50 B-MICS cases performed by each of the three surgeons in training (150 cases total). All the main intraoperative complications are presented in order to underline the B-MICS advantages in their surgical management. Out of 150 cataract surgeries we had 18 intraoperative complications (12%) including ten iris traumas (6.6%), four capsule ruptures without vitreous loss (2.7%); three posterior capsule ruptures with vitreous loss (2%) and one IOL implantation in the sulcus due to marked zonular laxity (0.7%). Five post-operative complications (3,3%): two iris prolapses (1.3%); one IOL loop malposition (0.7%); one post-operative hypotalamia (0.7%) and one capsulorhexis phimosis (0.7%).

B-MICS is a safe and effective technique even when performed by surgeons in training; moreover, this technique presents several advantages for the surgical management of intra-operative complications.
(Institute of Ophthalmology, University of Modena & Reggio Emilia, Modena, Italy. Chief: Prof. Gian Maria Cavallini)

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