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Daniela M.V. Marques, MD, Felipe Tagushi, MD, Frederico F. Marques, MD
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This video demonstrates how fluidics may be used to protect the posterior capsule during the final steps of phacoemulsification in a more controlled manner than holding it back with a second instrument. Frederico F. Marques, MD; Daniela M.V. Marques, MD; and Felipe Tagushi, MD, present this video.
Posted: 12/21/2018
Daniela M.V. Marques, MD, Felipe Tagushi, MD, Frederico F. Marques, MD
This video demonstrates how fluidics may be used to protect the posterior capsule during the final steps of phacoemulsification in a more controlled manner than holding it back with a second instrument. Frederico F. Marques, MD; Daniela M.V. Marques, MD; and Felipe Tagushi, MD, present this video.
Posted: 12/21/2018
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Frederico Marques
6 years ago
Dear JA, the main purpose of this video is to show how the anterior chamber may fluctuate during phaco steps when there is some leakage due to the side port incision increasing the chances for posterior capsule rupture. Removing the second instrument (chopper) in the last stage of the phaco gives better follow ability since the system is virtually closed (no leakage at the side port) and the posterior capsule is kept posteriorly without fluctuation.
J A
6 years ago
i cannot understand. can you please explain it better?
Thiago TNesi
6 years ago
Dr Fernando Trindade, from Brazil, said in one of his videos: "fluidics are my second instrument".
Frederico Marques
6 years ago
Dear Ari W. , thanks for your comments and the reason we created this video is to show exactly what you've said "the chopper won't save you" however, we see a lot of resistance by the residents in general.
ari weitzner
6 years ago
i have always taught my students this-the chopper wont save you. take the second hand out and the decreased leakage will keep the capsule away.