Microphakonit: 700 micron cataract surgery

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Authors: Amar Agarwal, Rupal H Trivedi, Soosan Jacob, Athiya Agarwal, Sunita Agarwal

Published Date December 2007 Volume 2007:1(3) Pages 323 - 325

DOI: http://dx.doi.org/10.2147/OPTH.S

Amar Agarwal¹, Rupal H Trivedi², Soosan Jacob¹, Athiya Agarwal¹, Sunita Agarwal¹

¹Eye Research Centre and Dr. Agarwal’s Group of Eye Hospitals, Chennai, India; ²MUSC-Storm Eye Institute, Charleston, South Carolina, USA

Abstract: We describe the smallest incision cataract removal technique, Microphakonit, in which bimanual phacoemulsification can be performed with a 0.7 mm phaco tip and 0.7 mm irrigating chopper. Cortical removal is done using 22 gauge or 0.7 mm irrigation/aspiration instruments. The technique was used for 25 adult human eyes with grade 2 nuclear sclerosis and 5 adult human eyes with grade 3 nuclear sclerosis. None of these patients were noted to have intraoperative complications. One eye with grade 3 nuclear sclerosis had mild, central striate keratopathy postoperatively. Six months after surgery, 92% of the patients had a best corrected visual acuity (BCVA) of 20/20 and 96% had ≥20/25.

Keywords: Phakonit, Microphakonit, bimanual phacoemulsification