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Chapter-20 The Phaco-sandwich Technique

BOOK TITLE: Small Incision Cataract Surgery (Manual Phaco)

Author
1. Singh Kamaljeet
2. Kharbanda Varun
ISBN
9788184489804
DOI
10.5005/jp/books/11358_20
Edition
2/e
Publishing Year
2010
Pages
6
Author Affiliations
2. Regional Institute of Ophthalmology, MLN Medical College, Allahabad, India
Chapter keywords

Abstract

This technique is simple, allows removal of lens through a 6.0-6.5 mm scleral tunnel incision inducing less astigmatism. The essential prerequisite in this surgery is wide dilatation of pupil which allows easy prolapse of nucleus in anterior chamber and prevents iris entrapment during delivery of nucleus. Here we use irrigating vectis and a Sinskey type of dialer. The nucleus is then sandwiched between dialer above and irrigating vectis below the nucleus and the sandwiched nucleus brought out of the wound. The remaining pieces of nucleus are taken out by viscoexpression. Perinuclear and cortical matter are removed by two-way Simcoe-cannula and lens is implanted.

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