title: Endocapsular carousel technique phacoemulsification.
abstract: We describe an approach to cataract phacoemulsification that uses the carouseling technique within the capsular bag. This is made possible by a newly designed phacoemulsification tip with 3 unique modifications: a 20-degree right bend in the tip, a semicircular opening, and a third irrigation port. These 3 features facilitate the carouseling technique of phacoemulsification without expressing the lens into the anterior chamber. The method decreases corneal endothelial injury by maximizing the distance between the delivered thermal energy and the corneal endothelium. The preoperative and postoperative pachymetry and endothelial cell counts in the first 8 patients treated using this technique are reported.
authors.affiliation: University of Utah School of Medicine, Salt Lake City, Utah, USA.
authors.forename: Griffin J
authors.initials: GJ
authors.lastname: Jardine
authors.forename: Gilbert C
authors.initials: GC
authors.lastname: Wong
authors.forename: John R
authors.initials: JR
authors.lastname: Elsnab
authors.forename: Bruce K
authors.initials: BK
authors.lastname: Gale
authors.forename: Balamurali K
authors.initials: BK
authors.lastname: Ambati
mesh_terms: D000368:Aged; D002452:Cell Count; D055954:Corneal Endothelial Cell Loss / Q000517:prevention & control; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007903:Lens Capsule, Crystalline / Q000601:surgery; D008875:Middle Aged; D018918:Phacoemulsification / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies