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NR. 3(I)/2004
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Low Ultrasound
Micro-incision Cataract Surgery LUS-MICS
Jorge L. Alio, Ahmed Galal,
Jose-Luis Rodriguez Prats, Mohamed Ramzy
University Miguel Hernandez, Alicante, Spain |
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| Summary: |
Microincisional cataract
surgery (MICS) is to be considered the latest evolution
of modern cataract surgery. Microincisions should be
defined as those that allow cataract surgery with
intraocular lens implantations through incisions of 1.5
mm or less. A better use of the instrumentation, new
improved surgical instruments, improved knowledge of the
fluidics, especially the use of high vacuum, better use
of low ultrasound phacoemulsification or lasers allow to
remove cataracts up to grade 5 with incision sizes that
are more controllable, using less phacoemulsification
power and decreasing the surgically induced astigmatism.
We are at the beginning of a technique that finally will
allow us to create a safer surgical environment with
significantly smaller use of phacoemulsification power
inside the eye and a new generation of intraocular
lenses that will fit into the MICS concept. To the level
of today's development, MICS offers a better alternative
to the practical surgeon for the surgical practice. The
future will make MICS to progress towards further
improvements in instrumentation and phacoemulsification
techniques and new generations of intraocular lenses. |
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