Endokapsular Carrusle Technology

Introduction: There are two modifications of the Karrousel or carousel technique. The first, and the older is a supracapsular carol, where femoemulsification begins and ends in the anterior chamber. The second is endocapsular carousus, where phacoemulsification begins and ends in the back chamber. Aim The aim is to demonstrate that the full performance of phacoemulsification in the posterior chamber with minimal faco-type diversion gives minimal swelling and lost of endothelial cells to the cornea and at the same time the patient is safe. Material and Methods To perform this one-capsule phaco technique, a Ambati D fco type is required. It has three specifics. The end portion is curved 200c to allow the best fit in the peripheral right quadrant under the capsule. The second specific is the D aperture. The ends of this phaco type are rounded and not sharp. The third specificity is the third irrigation hole. If the two standard openings maintain the chamber, the third irrigation opening maintains the capsule bag inflated. The cut for this technique is 2.2mm. A spatula or nucleus susten is used to help vibrate. Rotation and phacoemulsification are performed entirely in the back chamber, far from the endothelium of the cornea. Use 25 % to 40 % ultrasound, 400mm vacuum, 110mm height and 40mm aspiration rate with specific viscoelastic. Results Results of 6 patients aged 50-60 years, cataracts with grade 1 and grade 2. Pachymetry has been performed as well as counting of endothelial cells preoperatively. These were repeated on the first post-operative day and three months later. The results showed that the pachymetry cornea is thickened 4 % -6 % and there was loss of endothelial cells of 4 %. The three-month period was sufficient to stabilize the pachymetry results, as well as endothelial cell loss. It is worth mentioning that these are cataracts of grade 1 and 2, but that expectations in these patients are relatively large. Conclusions It can be said that the use of this endocapsular carousel technique and the departure of phacoemulsification from the cornea endothelium minimize the thermal injury of the cornea. The use of this 0.7 mm phaco type allows smaller and easier movement of the front chamber. The use of the third orifice makes the capsule bag inflated, and hence beyond the phaco type, which makes the phacoemulsification process itself more efficient and thus safer for the patient.