Glyxambi
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 5205
  • Home
  • Print this page
  • Email this page

   Table of Contents      
LETTER TO THE EDITOR
Year : 2011  |  Volume : 59  |  Issue : 5  |  Page : 409

Visual outcome and complications of cataract surgery using prechop manual phacofragmentation


Department of Ophthalmology, Prapokklao Hospital, Chanthaburi, Thailand

Date of Web Publication9-Aug-2011

Correspondence Address:
Pipat Kongsap
Department of Ophthalmology, Prapokklao Hospital, Chanthaburi 22000
Thailand
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.83633

Rights and Permissions

How to cite this article:
Kongsap P. Visual outcome and complications of cataract surgery using prechop manual phacofragmentation. Indian J Ophthalmol 2011;59:409

How to cite this URL:
Kongsap P. Visual outcome and complications of cataract surgery using prechop manual phacofragmentation. Indian J Ophthalmol [serial online] 2011 [cited 2019 Dec 10];59:409. Available from: http://www.ijo.in/text.asp?2011/59/5/409/83633

Dear Editor,

I read with great interest the article on the Bhatti modification for small-incision cataract surgery. [1] The prechop surgical technique described by Akahoshi was modified for use in phacofragmentation. This prechop technique is very similar to those reported by Wiriyaluppa and Kongsap. [2] Good visual outcomes were achieved in most cataract patients in the report by Wiriyaluppa and Kongsap. The visual outcomes of cataract surgery using the prechop technique in a 339 cases series were also presented at the 19th congress of Asia-Pacific Academy of Ophthalmology [Table 1]. Intraoperative complications included capsule rupture (8 eyes, 2.4%), iris prolapse (5 eyes, 1.5%), and hyphema (3 eyes, 0.9%). A significant postoperative complication was corneal edema, which occurred in 29 eyes (8.5%).
Table 1: Postoperative visual acuity after cataract surgery using prechop manual phacofragmentation (n = 339)

Click here to view


For the first 2 years of our experience in Thailand, we used the Akahoshi chopper forceps to divide the nucleus within the capsular bag. We have now developed a new surgical technique in which we use a simple instrument (23 G disposable needle or MVR blade) for cracking the nucleus into two fragments. [3] It can be operated under topical anesthesia with no significant difference in surgical complications as compared with that in phacoemulsification.

Finally, I believe that the article on the Bhatti modification for small-incision cataract surgery is identical to our report. The author should demonstrate the difference between the Bhatti modification and our technique. Furthermore, I would like more details on the complications of cataract surgery using the Bhatti modification.

 
  References Top

1.
Bhatti SS. Description of surgical technique: The Bhatti modification for small-incision cataract surgery of the Akahoshi prechop technique. Indian J Ophthalmol 2009;57:31-3.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Wiriyaluppa C, Kongsap P. Prechop Manual Phacofragmentation: Cataract Surgery without a phacoemulsification machine. Asian J Ophthalmol 2002;4:7-9.  Back to cited text no. 2
    
3.
Kongsap P, Wiriyaluppa C. A comparison of patient pain during cataract surgery with topical anesthesia in Prechop Manual Phacofragmentation versus phacoemulsification. J Med Assoc Thai 2006;89:959-66.  Back to cited text no. 3
[PUBMED]    



 
 
    Tables

  [Table 1]


This article has been cited by
1 Authors reply
Bhatti, S.S.
Indian Journal of Ophthalmology. 2012; 60(1): 75
[Pubmed]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References
Article Tables

 Article Access Statistics
    Viewed785    
    Printed21    
    Emailed0    
    PDF Downloaded136    
    Comments [Add]    
    Cited by others 1    

Recommend this journal