Flip and Slice Technique for Cataract Surgery

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Cynthia Matossian, MD, describes her Flip and Slice technique for cataract surgery. Using a flattened hydrodissection cannula, the surgeon pops the nucleus through the capsulorhexis. Healon 5 (Abbott Medical Optics) is instilled to protect the endothelium, then a Koch manipulator is used to partially slice the cataract. After the cataract is flipped with the cannula, Dr. Matossian bisects the cataract at the fault line created by the Koch Manipulator with the phaco handpiece on sculpt mode.

Posted: 11/30/2011

Flip and Slice Technique for Cataract Surgery

Cynthia Matossian, MD, describes her Flip and Slice technique for cataract surgery. Using a flattened hydrodissection cannula, the surgeon pops the nucleus through the capsulorhexis. Healon 5 (Abbott Medical Optics) is instilled to protect the endothelium, then a Koch manipulator is used to partially slice the cataract. After the cataract is flipped with the cannula, Dr. Matossian bisects the cataract at the fault line created by the Koch Manipulator with the phaco handpiece on sculpt mode.

Posted: 11/30/2011

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Comments

Cynthia Matossian, MD FACS

13 years ago

The capsulorhexis size does not need to be larger for this Flip & Slice cataract technique. That is the beauty of this technique. I aim for a 360 degree overlap of all optics including ones that are 5.5 mm in diameter. My average capsulorhexis size is between 5.00 and 5.75 mm depending on the IOL optic size (not dependent on this surgical technique). I do not alter my capsulorhexis size for this technique. Please contact me again if you have any additional questions. Cynthia Matossian, MD, FACS 1-800-708-8800 www.matossianeye.com

Prasert Chiaprasert

13 years ago

very useful technic but it need large capsulorhexis and may be larger than IOL diameter