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Phacoemulsification - The Evolution of Cataract Surgery
- 1. Phacoemulsification – What is old(Gold)? UNFORTUNATELY/FORTUNATELY BY DR INDEEVAR V MISHRA
- 2. Heart and soul of ophthalmology – Cataract surgery!
- 4. The measure of your proficiency in ophthalmology shall be the speed and ability to operate cataract cases.
- 5. Rite of passage/Trial by fire
- 6. Evolution of cataract surgery..
- 9. The Basic cataract surgery… Removal of the lens IOL implantation Managing the post operative complications ECCE by Breaking it!! Remove in Toto with capsule Extracapsular extraction
- 12. Multifocal lenses FLACS Toric lenses Small incision cataract surgery Phacoemulsification
- 16. Kelman – Inventor but was performing anterior chamber phacoemulsification…. Sinskey is credited with posterior chamber phacoemulsification.
- 17. Basics of phacoemulsification… Ultrasound energy Pump system Irrigation system Foot pedal.
- 22. What has not changed….??
Editor's Notes
- Phacoemulsification remains the heart and soul of ophthalmology…..but if you’d ask me …I would say…
- It’s the bread and butter of ophthalmology. Till date the first question thrown at you after completion of your post graduation is’ “HOW MANY CASES OF CATARACT HAVE YO U DONE??”.
- Every Post graduate has to pass through a trial by fire. The last rite to be performed, specially in Indian system is learning the art of Phacoemulsification…
- We started out with small instruments and the most basic of skills. The evolution was gradual and
- You know these guys, right??? The French ophthalmologist Jacques Daviel (1696–1762) performed the first extracapsular cataract extraction on April 8, 1747. And of course you all would be knowing this guy…Albrecht von Graefe
- This person changed something. ….he demonstrated that we can replace the lens rather than just removing it. 29 November 1949, Harold Ridley successfully implanted the first IOL at St. Thomas’ Hospital in London
- The process of cataract surgery basically revolved around the removal of the nucleus and the size of the incision has taken a back seat…..
- The inventor and creator of PHACOemulsification.
- This is the real Kelman…The father of modern cataract surgery.
- What Dr Kelman did was to shift the focus to the incision size. Hence due to more margin of safety patients have a huge range of add ons to choose from.
- The picture of the initial tests being performed on animals. The actual machine which was first used. The other person is Dr Jack M Dodick. He is another close friend of Dr Kelman and also one of the pioneers in the field of Ophthalmology and phacoemulsification.
- Today’s machines…..This particular picture is of ALCON machines along with their over the year machines….
- Dr. Kelman’s hand would start to shake under the weight of the handpiece, and he had to pull it out of the eye to take a frustrated break. Dr. Dodick described the early phaco handpiece as being “very crude,” weighing 2.2 kilograms (4.8 lbs.), and had to be supported with a “sling,” which he said was made from piano wire.