title: Comparison of Phaconit Rollable IOL with Acrylic Foldable IOL.
abstract: BACKGROUND
  Phaconit or ultra micro incision phacoemulsification cataract surgery involves phacoemulsification through a 0.9 millimetre sleeveless phaco tip and irrigating chopper followed by implantation of a rollable intraocular lens. The procedure leads to negligible astigmatism and faster visual recovery as compared to phacoemulsification with a foldable intraocular lens.
  
  
  METHODS
  This prospective study analysed 80 cases of sub millimetre phaconit surgery with implantation of rollable intraocular lenses(IOL) in 40 cases and acrylic foldable IOL in the remaining 40 cases. Evaluation of efficacy and adaptability of procedure, equipment settings, operative constraints, postoperative complications, keratometric and topographic evaluation of induced astigmatism with visual outcome and patient's rehabilitation were studied.
  
  
  RESULTS
  The intraoperative complications were surge/ chamber collapse in 16 (20%), iris chaffing in one and corneal burns in two cases. All cases had an induced astigmatism of less than or equal to ± 0.25 D in four to six weeks after rollable IOL and ± 0.5 D to ± 0.75 D after acrylic IOL implantation. All patients had best-corrected visual acuity of 6/6 by third post operative day.
  
  
  CONCLUSIONS
  Phaconit with rollable IOL is a perfect blend of surgical skill, application of technology and ultra thin IOL.
authors.affiliation: Senior Advisor (Ophthalmology), Army Hospital (R&R), Delhi Cantt.
authors.forename: Jks
authors.initials: J
authors.lastname: Parihar
authors.affiliation: Commandant, AFMSD New Delhi.
authors.forename: D P
authors.initials: DP
authors.lastname: Vats
authors.affiliation: ADMS, HQ 26 Inf Div, C/o 56 APO.
authors.forename: R P
authors.initials: RP
authors.lastname: Gupta
authors.affiliation: Classified Specialist (Ophthalmology), INHS Jeevanti.
authors.forename: T R
authors.initials: TR
authors.lastname: Bera
authors.affiliation: Classified Specialist (Ophthalmology), INHS Jeevanti.
authors.forename: R
authors.initials: R
authors.lastname: Phooken
authors.affiliation: Graded Specialist (Ophthalmology), Command Hospital (Eastern Command), Kolkata (WB) 700 027.
authors.forename: A
authors.initials: A
authors.lastname: Singh
keywords: Phaconit; Rollable IOL implantation; Submillimetre incision; Ultra micro phaco