Pearls of phaco operation

Introduction to phaco operationAbdelmonem HamedProfessor of Ophthalmology, Benha University

Do you know that?Cataract represents about 20 million people all over the worldCataract remains the leading cause of reversible blindness (51%)Phacoemulsification became the basic surgery of cataract removal.

For successful cataract operation we need Good

Surgical microscopePhaco machineInstrumentsAnesthesia or AkinesiaAssisting and circulating staff

For successful cataract operation we need Good

Surgical microscopePhaco machineInstrumentsAnesthesia or AkinesiaAssisting and circulating staff

For successful cataract operation we need Good

Surgical microscopePhaco machineInstrumentsAnesthesia or AkinesiaAssisting and circulating staff

For successful cataract operation we need Good

Surgical microscopePhaco machineInstrumentsAnesthesia or AkinesiaAssisting and circulating staff

For successful cataract operation we need Good

Surgical microscopePhaco machineInstrumentsAnesthesia or AkinesiaAssisting and circulating staff

The microscopeCoaxial illuminationFocusmagnificationEnhanced red reflexCentrationFoot-pedal of microscope:

The microscopeCoaxial illuminationFocusmagnificationEnhanced red reflexCentrationFoot-pedal of microscope:

The microscopeCoaxial illuminationFocusmagnificationEnhanced red reflexCentrationFoot-pedal of microscope:

The microscopeCoaxial illuminationFocusmagnificationEnhanced red reflexCentrationFoot-pedal of microscope:

The microscopeCoaxial illuminationFocusmagnificationEnhanced red reflexCentrationFoot-pedal of microscope:

The microscopeCoaxial illuminationFocusmagnificationEnhanced red reflexCentrationFoot-pedal of microscope:

Phaco machineThe parameters of each machine must be known by the surgeonThe surgeon must be familiar with the foot switch of each machine

Phaco machineThe parameters of each machine must be known by the surgeonThe surgeon must be familiar with the foot switch of each machine

Patient exclusion for 1st casesLt. Eye !!Small eyeSunken eyeProminent foreheadDeaf pt. (local anaesth.)Small pupil

Patient exclusion for 1st casesSoft nucleus grade +Nuclear cataract grade ++++Intumescent cataractPost polar cataractMature cataractPseudoexfoliationTopical or local anaesthesia!!

Positioning the pt. headPut the Pt. chine up (pt. face horizontal to the microscope)Tilt pt. head to prevent fluid collectionUse Superior approach (avoid temporal one)Isolate lashes with eye drapeDont open lids too much with the speculum

Positioning the pt. headPut the Pt. chine up (pt. face horizontal to the microscope)Tilt pt. head to prevent fluid collectionUse Superior approach (avoid temporal one)Isolate lashes with eye drapeDont open lids too much with the speculum

Positioning the pt. headPut the Pt. chine up (pt. face horizontal to the microscope)Tilt pt. head to prevent fluid collectionUse Superior approach (avoid temporal one)Isolate lashes with eye drapeDont open lids too much with the speculum

Positioning the pt. headPut the Pt. chine up (pt. face horizontal to the microscope)Tilt pt. head to prevent fluid collectionUse Superior approach (avoid temporal one in the first cases)Isolate lashes with eye drapeDont open lids too much with the speculum

Positioning the pt. headPut the Pt. chine up (pt. face horizontal to the microscope)Tilt pt. head to prevent fluid collectionUse Superior approach (avoid temporal one)Isolate lashes with eye drapeDont open lids too much with the speculum !!

Eye sterilization with Betadine 5%

Eye lid degermation

Isolate eye lashes

Support your hand on pt. head during operation

Thank you