Skip to main content
SpringerLink
Log in

Technologien, Techniken und Taktiken für die mikroinzisionale Kataraktchirurgie

Technologies, techniques and tactics for micro-incision cataract surgery

  • Leitthema
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

Zusammenfassung

Die Ultraschallphakoemulsifikation entwickelt sich derzeit von einer Kleinschnitt- zu einer Mikroschnittchirurgie. Entwicklungen der Maschinentechnologien mit neuen US-Abgabe-Modi, mit verbesserten Regelungen der Irrigation und Aspiration, mit kleineren Phakotips und Sleeves und mit der Entwicklung von intraokularen Linsen und Injektorsystemen für die Implantation durch Inzisionsweiten von unter 2 mm werden angewandt. Damit kann für bestimmte Augensituationen die günstigste Operationsmethode ausgewählt werden. Weitere Entwicklungen für intraokulare Linsen zur Implantation durch Inzisionen unter 2,0 mm Weite sind gewünscht.

Abstract

Ultra-sound (US) phaco-emulsification is currently developing from a small incision to a micro-incision cataract surgery (MICS). Improvements in machine technologies with new US delivery modes with better control of irrigation and aspiration, with smaller phacotips and sleeves and with new intraocular lenses and injector systems for implantations through incisions less than 2 mm wide. Therefore, the most suitable method for surgery can be selected for each individual eye situation. Further improvements of intra-ocular lenses for implantation through incisions less than 2 mm wide would be desirable.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10
Abb. 11
Abb. 12
Abb. 13

Literatur

  1. Agarval A, Agarval A, Agarval S, Agarval AT (2001) Phakonit: phacoemulsification through a 0,9 mm corneal incision. J Cataract Refract Surg 27:1548–1552

    Article  Google Scholar 

  2. Akahoshi T (2005) Farewell to Bimanual. In: Micro-Incision. Supplement Cataract Refract Surg Today, 5–8

  3. Allen D (2006) The Ozil Torional Phacoemulsification. In „Torsional: a new era in Phacoemulsification. Suppl Cataract Refract Surg:4–6

    Google Scholar 

  4. Alió J (2004) What does MICS require? In: Alió J ed MICS Dorado, Republic of Panama. Highlights of Ophthalmology, 1–4

  5. Bäcker K, Fabian E (2009) Qualität und Patientenzufriedenheit in der Katarakt-Chirurgie. Qualitätssicherung mit AQS-Katarakt. Poster, 23. DGII-Kongress München

  6. Blumenthal M, Moissiev J (1987) Anterior chamber maintainer for extracapsular cataract extraction and intraocular lens implantation. J Cataract Refract Surg 13:204–206

    CAS  PubMed  Google Scholar 

  7. Brauweiler HP, Bimanual Irrigation/Aspiration Device (1996) J Cataract Refract Surg 22:1013–1016

  8. Chang DF (2001) Can cold phaco work for brunescent nuclei? J Cataract Refract Surg 20–23

  9. Crozafon (1999) The use of minimal stress and the teflon-coated tipp for bimanual high frequency pulsed phacoemulsification. 14th meeting of the Japanese. Soci Cataract Refract Surg, Kyoto

  10. Dewey S (2009) Dense Cataracts and New Phaco Modalities. Vortrag ASCRS, San Francisco

  11. Dodick JM, Sperber LTD, Lally JM, Kazlas M (1993) Laser phacolysis of the homan cataractous lens. Arch Ophthalmol 111:903–904

    CAS  PubMed  Google Scholar 

  12. Donnenfeld E, Olson R, Solomon R, Finger P (2003) Efficacy and wound-temperarture gradient of WhiteStar phacoemulsification through a 1,2 mm incision. J Cataract Refract Surg 29:1097–1100

    Article  PubMed  Google Scholar 

  13. Fabian E (2001) Vortrag Phacoflex Meeting, Zermatt

  14. Fabian E (2002) WhiteStar Phaco Software: reduction of US power and temperature. Vortrag ASCRS

  15. Fabian E (2008) Bimanual MICS with the WhiteStar Signature CRST Europe, 24–27

  16. Fabian E (2008) State of the art surgery for multifocal IOL Implantation. In: Multifocal IOLs, Goes FJ (eds) Jaypee Brothers medical publishers (P) Ltd, 210–214

  17. Fine ICH, Hoffman RS, Packer M (2004) Why we prefer bimanual microincisional phacoemulsification. CRSToday Vol 4, No 9:43–46

    Google Scholar 

  18. Girard LJ (1974) Ultrasonic aspiration – irrigation of cataract and the vitreus. In: Emery JM & Paton DJ ed. Proceedings of the third biannul cataract surgical congress. Current concepts in cataract surgery, Mosby Co, St. Louis, 194–197

  19. Güell J, Vázquez M, Lucena J et al (o J) Phaco rolling technique. J Cataract Refract Surg 30:2043–2045

  20. Kelman CD (1967) Phacoemulsification and aspiration – A new technique of cataract removal. A preliminary report. Am J Ophthalmol 64:23–35

    CAS  PubMed  Google Scholar 

  21. Kohnen T, Klaproth O (2008) Incision sizes before and after implantation of SN60WF intraocular lenses using the monarch injector system with C and D cartridges. J Cataract Refract Surg 34:1748–1753

    Article  PubMed  Google Scholar 

  22. Kurz S, Krummenauer F, Gabriel P, Dick B (2006) Biaxial microincision cersus coaxial small-incision clear cornea cataract surgery. Ophthalmology 113:181–1826

    Article  Google Scholar 

  23. Mackool (2005) Microincision Coaxial Phacoemulsification, In: Micro-Incision, Supplement Cataract Refract Surg Today, 3–4

  24. Mackool RJ (2006) Understanding the Physics of Torsional Phacoemulsification. EyeWorld Supplement ASCRS, 2–3

  25. Mazzocco MD, Davidson M (1984) Insertion Technique and Clinical Experience with Silicone Lenses, In: Soft Implant Lenses In Cataract Surgery, Slack Incorporated, Thorofare, S 97–106

  26. Menapace R (2008) Jüngste Fortschritte auf dem Gebiet der „koaxialen Mikrophakoemulsifikation“: Oertli CO-MICS-2-Spitze und Hoya Y-60H-Mikroinzisionslinse. 22. Kongress der DGII. Springer, Heidelberg, Heidelberg, New York, 67–75

  27. Obazawa H, Oguchi Y (1969) Studies on the Influence of Various Ultrasonic Characters on Phaco-Emulsification Effects. Acta Soc Ophthalmol Jap:1165–1183

    Google Scholar 

  28. Olson RJ (2004) MicroPhaco Chop In: Chang DF Phacochop. Thorofare, Slack Incorporated 227–237

  29. Shearing S, Relyea R, Loaiza A, shearing R (1985) Routine phacoemulsification through a 1.0 mm non-sutured incision. J Cataract Refract Surg 6–8

  30. Sosciaia W, Howard JG, Olson RJ (2002) Microphacoemulsification with WhiteStar. A wound-temperature study. J Cataract Refract Surg 28:1044–1046

    Article  Google Scholar 

  31. Tsuneoka H, Shiba T, Tabahashi Y (2001) Feasibility of ultrasound cataract surgery with a 1.4 mm incision. J Cataract Refract Surg 27:934–940

    Article  CAS  PubMed  Google Scholar 

  32. Vasavada AR (2007) Intraoperative performance of Emerging Phaco Standards. Ophthalmology Times Europe, 5–8

Download references

Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung/en hin: Prof. Fabian gibt an, Consultant für AMO und Zeiss zu sein.

Author information

Authors and Affiliations

  1. AugenCentrum MVZ Rosenheim, Bahnhofstraße 12, 83022, Rosenheim, Deutschland

    E. Fabian

  2. Universitäts-Augenklinik, Technischen Universität, München, München, Deutschland

    M. Maier

Authors
  1. E. Fabian
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Maier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. Fabian.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fabian, E., Maier, M. Technologien, Techniken und Taktiken für die mikroinzisionale Kataraktchirurgie. Ophthalmologe 107, 116–126 (2010). https://doi.org/10.1007/s00347-009-1979-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-009-1979-0

Schlüsselwörter

Keywords

Search

Navigation