Endothelium Protection in Micro-Chop

Marcos Gomez MD

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Dr. Gomez describes a simple maneuver for protection of the endothelium during microchop phacoemulsification surgery: Use a cannula or spatula to trap the lens fragment in the iris plane and a safe distance from endothelium.

Posted: 2/16/2010

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Name: Endothelium Protection in Micro-Chop
Uploaded: 2010-02-16T11:57:00+00:00
Description: Dr. Gomez describes a simple maneuver for protection of the endothelium during microchop phacoemulsification surgery: Use a cannula or spatula to trap the lens fragment in the iris plane and a safe distance from endothelium.

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Endothelium Protection in Micro-Chop

Marcos Gomez MD

Posted: 2/16/2010

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Comments

marcos gomez

15 years ago

Hi Jorge, today I measured 5 cases, average data: 60 cc inside the cassette,15 drape bag, 20 in container, 35 cc inside tubes, Undefined quantity lost over patient head, etc. Total 135cc.

jorge huaman

15 years ago

hi marcos, how much fluid do you waste in a regular case?

marcos gomez

15 years ago

Hi Gustavo, In soft lenses you may not perform a single chop but the harder the cataract the smaller can be the fragments. In standard chop you go blindly under the iris limiting the acuracy of the chop, in Micro-Chop we initiate the fracture in front of the phaco tip under direct visualisation. Microinstruments, microamplitude and microforce improves micro-chop precision.

Gustavo Montano

15 years ago

How do you get the 20 or so small fragments of the cataract?

Endothelium Protection in Micro-Chop

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Endothelium Protection in Micro-Chop

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