Till a few decades back cataract surgery used to mean prolonged bed rest and
absence from work. Phacoemulsification made cataract surgery very safe with fast
recovery. It cut short admission and enabled a day care procedure with minimum
disruption in a patients life. With the phacomachine we are able to make a small
opening of 2.8 mm to extract the 9mm cataract and implant a 6mm intraocular
lens. This small opening gave the name key hole to the surgery.
As in many things in life, smaller is better, is the dictum in most all surgeries and
especially so in eye surgeries. The search for a safer, faster and easier surgery
resulted in micro phaco cataract surgery. This has been aptly nicknamed pinhole
surgery as the incision size was further reduced by 40%.
The main advantage of the much smaller incision is the faster healing and
therefore quicker rehabilitation to the patient. Smaller incision means more control
to the surgeon during surgery as the wound is more stable. Thus the patients safety
and the surgeons comfort level is enhanced.
The surgery is ideally suited for people wanting to start working soon after
surgery. As the procedure is safer than conventional phaco patients with higher
risk profile like diabetics and nephrology patients should ideally opt for this
procedure. This would be the best option for complicated and difficult surgeries.
The only disadvantage of Micro Phaco is that it needs sophisticated, computerised,
ultrasound machines which can give pulsed power to enable the entire lens to be
pulverised and removed by a thin needle.
Microphaco has made the already painless and safe 15 minute phaco procedure
into a much faster computer controlled ultra precision surgery with very
predictable results.
Though the safety profile is greatly enhanced the procedure has the same
complications as phaco surgery; a list of which can be found here.
The Divya Prabha Eye Hospital is dedicated to the protection and preservation of vision. For children, who have a world to discover and explore. For adults, who desire to live independently and with dignity, at any age.
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