Micro Incision Cataract Surgery (MICS) Optikon development of Coaxial Phaco through 2.2 mm incision Benefits of Optikon 2.2 mm-Coaxial Phaco Kit for cataract surgery

   

Thanks to the improvements of the surgical techniques in ophthalmology, during the past 5 years the incision size in phaco emulsification has been reduced from 3.2 mm down to 1.5 mm.

The first MICS technique, known as “Bimanual” or “Non-Coaxial Phaco”, was performed sleeveless through a 1.7/1.5mm incision.

Having separated the infusion line from the aspiration/phaco line, the surgeon must perform the surgical procedure through both hands: on one hand he holds the irrigating instrument (chopper and/or manipulator) and on the second hand he holds the phaco handpiece (U/S and Aspiration).

Bimanual Technique, compared to the standard coaxial phaco, offers the following advantages:

• Less invasive approach
• No astigmatism induced
• Low U/S emission
• Faster patient’s rehabilitation

Bimanual Technique, even with its own important advantages, is not widely used because:

• It requires a major modification of the traditional surgery handling
• It increases the risk of damage of the incision tissues through the metal instruments
• It limits significantly the intra-ocular instrument movements
• It provides poor infusion flow from irrigating instruments
• It increases the duration of the surgery
• IOL's fitting 1.5 mm incision are difficult to find, expensive and difficult to inject/insert.

In order to find a different approach to MICS, avoiding the disadvantages of bimanual technique, Optikon has now developed specific dedicated instruments, giving surgeons the chance to perform coaxial phaco emulsification through a 2.2/2.3mm incision.

The 2.2 mm incision can be performed using the new Optikon kit specially designed for it:

113307 - Silicone sleeve for 21G tips

113233 - Biconical-21G Phaco tip

Through Optikon 2.2 mm-Coaxial Phaco Kit, surgeons:

• Can perform surgery with their daily surgical technique: no changes requested.
• Do not need special irrigating instruments: infusion level is not an issue.
• Avoid friction between incision tissues and U/S tip: thanks to the Silicone sleeve for 21G tips, no damages or corneal burns.
• Reduce significantly incision leakage: Silicone sleeve for 21G tips ensures chamber stability, low liquid circulation.
• Can experience the best phaco performances together with an optimum vacuum level: Biconical-21G Phaco tip ensures followability, efficiency and time saving, even through 2.2 mm incision.
• Can choose between a large number of injectable IOL’s: no need to enlarge the incision.

NOTE

 For surgeons using Optikon VitModule or Assistant, additional benefits will come from the combination of Optikon 2.2 mm-Coaxial Phaco Kit and Optikon for forced irrigation.

Optikon gives an extra strength to aspiration and irrigation with minimal Intra Ocular Pressure and total chamber stability.