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Advantages of MINIMAL INCISION WITH BIAXIAL Phaco

Advantages of MINIMAL INCISION WITH BIAXIAL Phaco. L. Felipe Vejarano, M.D. Fundación Oftalmológica Vejarano Popayán - Colombia South America. www.felipevejarano.com. felipev@fov.com.co. I DON’T HAVE ANY FINANCIAL INTEREST. BIAXIAL vs MICROCOAXIAL. ADVANTAGES.

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Advantages of MINIMAL INCISION WITH BIAXIAL Phaco

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  1. Advantages of MINIMAL INCISION WITH BIAXIAL Phaco L. Felipe Vejarano, M.D. Fundación Oftalmológica Vejarano Popayán - Colombia South America www.felipevejarano.com felipev@fov.com.co I DON’T HAVE ANY FINANCIAL INTEREST

  2. BIAXIAL vs MICROCOAXIAL ADVANTAGES • Smaller Incisions - less invasive approach • Almost impossible to detect the enlarging of the Main Incision • Truly anastigmatic • Min. change in corneal shape and elevation • Minimal induction of HOA EVEN THE INCISION WAS ENLARGE FOR IOL INTRODUCTION

  3. BIAXIAL vs MICROCOAXIAL ADVANTAGES MAIN INCISION

  4. CHANGE IN CORNEAL SHAPE AND ELEVATION BIAXIAL vs MICROCOAXIAL ADVANTAGES POSTOP PREOP

  5. INDUCED CORNEAL ABERRATIONS PREOP POSTOP 0,007µ

  6. INDUCED CORNEAL ABERRATIONS PREOP POSTOP 0,007µ

  7. INDUCED CORNEAL ABERRATIONS PREOP POSTOP 0,016µ

  8. BIAXIAL vs MICROCOAXIAL ADVANTAGES • Really water-tight incisions (Configuration) Cortesía: Dr. Paul Ernest Ernest PH, Fenzl R, Lavery KT, Sensoli A. Relativestability of clear corneal incisions in a cadavereyemodel. J CataractRefract Surg 1995 Jan; 21(1):39-42

  9. BIAXIAL vs MICROCOAXIAL ADVANTAGES MAIN INCISION PARACENTESIS

  10. BIAXIAL vs MICROCOAXIAL ADVANTAGES • Better maintenance of A.C. with OVD • Making standard Capsulorhexis • Capsulorhexis from both incisions • Implanting CTR

  11. BIAXIAL vs MICROCOAXIAL ADVANTAGES • Less possibility of Iris extrusion • Even in Intraoperative Floppy Iris Syndrome (IFIS) • Switch hands during the Phaco • Instructional for Right and left handed • Less BSS consumption • The irrigation is a third instrument • For mobilize the pieces • To protect and push away the posteriorcapsule

  12. BIAXIAL vs MICROCOAXIAL ADVANTAGES • Minimal Turbulence • Stable A.C. during the whole surgery • Less endothelial cell lost • Minimal uveal trauma • Less mobilization of the vitreous • Perfect in RLE • Indicated in cases of previous retinal tears or retinal surgery

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