| Past Issue | Volume 4, Number 4, 2002 | | Prechop Manual Phacofragmentation: Cataract Surgery without a Phacoemulsification Machine |
C Wiriyaluppa, P Kongsap
Department of Ophthalmology, Prapokklao Hospital, Chantaburi, Thailand
In this cataract extraction technique, the nucleus is manually split into 2 fragments by prechopper forceps and the fragments removed through a 5.5 to 6.5 mm temporal clear corneal incision. After capsulorrhexis, hydrodissection, hydrodelineation, and surface cortex aspiration, a prechopper forceps is gently passed into the centre of the nucleus core and the nucleus is fragmented into 2 pieces. Each piece is prolapsed into the anterior chamber and extracted with 0.12 corneal forceps and a Sinsky hook via a small incision. This method of cataract removal was performed for 145 consecutive patients, among whom there were 5 posterior capsule ruptures, but no serious complications occurred. Postoperative best corrected visual acuity was better than 20/40 for 80% of patients.
Key Words: Cataract extraction, Corneal incision, Phacoemulsification
Asian J Ophthalmol 2002;4(4):7-9.
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