Purpose:

To evaluate and review how three different fluid control strategies on two separate phaco systems can affect surgeon’s machine system settings and surgical technique

Methods:

A retrospective review of surgical cases on different systems was performed by analyzing video footage. Machine settings as well as types of surgical techniques were noted as well as whether phacoemulsification was performed primarily at, above or below the iris plane.

Results:

Using clinical measurements from direct observations and video playback, a system using multiple feedback mechanisms allowed for surgical procedures to be performed more typically below the iris plane and at a lower IOP. The ability to mitigate surge allowed for more controlled chamber stability.

Conclusions:

Advancements in fluidic control systems, which can lead to improved anterior chamber stability, also allow surgeons greater flexibility in their machine settings and surgical techniques