Koplin Richard S, Anderson Justin E, Seedor John A, Ritterband David C
New York Eye & Ear Infirmary, New York, New York 10003, USA.
J Cataract Refract Surg. 2009 Sep;35(9):1487-91. doi: 10.1016/j.jcrs.2009.04.029.
We describe an in situ nuclear disassembly technique using a simplified form of sculpting and cracking, enhanced by phacoemulsification technology with a Kelman-style tip. The technique does not require mobilization or rotation of the nucleus within the capsular bag, and hydrodissection is optional. The technique requires a Kelman-style curved tip and Kuglen hook and takes advantage of the versatility of the curved phacoemulsification needle for sculpting and cracking. Since in situ nuclear disassembly requires no rotation of the nucleus for extraction, it is useful in cases in which zonules are compromised or the surgeon suspects posterior lenticonus and the potential for loss of integrity of the posterior capsule.
我们描述了一种原位核分解技术，该技术采用简化的雕刻和劈裂形式，并通过带有凯尔曼式尖端的超声乳化技术加以强化。该技术不需要在囊袋内移动或旋转晶状体核，水分离操作是可选的。该技术需要一个凯尔曼式弯曲尖端和库格伦钩，并利用弯曲的超声乳化针进行雕刻和劈裂的多功能性。由于原位核分解在提取时不需要旋转晶状体核，因此在悬韧带受损或外科医生怀疑有后圆锥晶状体以及后囊膜完整性可能丧失的情况下很有用。
