|LETTER TO THE EDITOR
|Year : 2011 | Volume
| 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 Publication||9-Aug-2011|
Department of Ophthalmology, Prapokklao Hospital, Chanthaburi 22000
Source of Support: None, Conflict of Interest: None
|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
I read with great interest the article on the Bhatti modification for small-incision cataract surgery.  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.  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.  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|| |
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.
Wiriyaluppa C, Kongsap P. Prechop Manual Phacofragmentation: Cataract Surgery without a phacoemulsification machine. Asian J Ophthalmol 2002;4:7-9.
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.