PHACOSIT: A sitting phacoemulsification technique for patients unable to lie down flat during cataract surgery

Phacoemulsification is routinely performed with the patient lying supine on the surgical table with his or her head flat and facing the overhead microscope. This routine technique can be a challenge in medical conditions such as kyphosis, scoliosis, orthopnea, Meniere's disease, and CNS abnorma...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2022-04, Vol.70 (4), p.1396-1401
Main Authors: Brayan, Jebinth, Chandrakanth, Prithvi, Narendran, Siddharth, Narendran, Kalpana, Narendran, Venkatapathy
Format: Article
Language:English
Subjects:
Aged, 80 and over
Care and treatment
Case studies
Cataract - complications
cataract surgery
Cataracts
Eye surgery
face to face
Female
Humans
Innovation in Ophthalmology
iol implantation
Kyphosis
Lens Implantation, Intraocular - methods
Male
Meniere's disease
Methods
Patient Positioning - methods
Patients
Phacoemulsification
Phacoemulsification - methods
Physically disabled aged
Positioning
Scoliosis
sitting phacoemulsification
Sitting Position
Surgery
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Summary:Phacoemulsification is routinely performed with the patient lying supine on the surgical table with his or her head flat and facing the overhead microscope. This routine technique can be a challenge in medical conditions such as kyphosis, scoliosis, orthopnea, Meniere's disease, and CNS abnormality. Some cardiovascular and respiratory conditions make the patients breathless when they lie down, whereas other neurological and spinal problem patients are also equally uncomfortable. The only reasonable solution to conduct surgery on a patient who cannot lie down flat on the operating table is to position them face to face in a sitting position. We describe an innovative phacoemulsification technique in a sitting position called "phacosit" in an 80-year-old wheelchair-bound female patient who was denied cataract surgery by other eye surgeons owing to her medical condition.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_2639_21