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ASCRS Clinical Education

ASCRS Focus on Cataract Surgery

Phacoemulsification: Tips & Techniques

April 2020

As as essential part of modern cataract surgery, nothing is more important in the day-to-day success of the cataract surgeon than mastering the technique of phacoemulsification.

Whether you are learning the basics or refreshing your knowledge, explore the variety of phaco resources below to learn about new surgical techniques, fluidics, machine settings and more. 

Complimentary Online CME Credit

Phaco Fundamentals: Principles and Pearls for Optimizing Phaco Machine Settings for Different Cataracts

APPROVED FOR 1.5 AMA PRA Category 1 Credits™.

During this 90 minute online CME activity, learn phaco fundamentals from the experts, organized into three primary topic areas: Phacodynamic Basics and Essential PrinciplesDense Cataract Cases, and Complex Case Phacodynamics.

Access this CME 24/7 Activity

Compare Against Your Peers

2019 ASCRS Clinical Survey

Expand each question to the right to view results from the 2019 ASCRS Clinical Survey.

ASCRS Clinical Survey copyright 2019 American Society of Cataract and Refractive Surgery (ASCRS). All rights reserved. No part of this survey may be reproduced without written permission from ASCRS, 4000 Legato Road, Suite 700, Fairfax, VA 22033.

Clinical Committee Article

Phacoemulsification of the rock-hard dense nuclear cataract: Options and recommendations

By the ASCRS Cataract Clinical Committee and the Challenging and Complex Cataract Surgery Subcommittee
We describe the essential steps in the successful phacoemulsification of the rock-hard, dense cataract. Appropriate and directed preoperative history, physical examination, and diagnostics allow the surgeon to select the best incision, anesthesia, and intended surgical technique for a given dense nuclear challenge.....

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Clinical Committee Article

Phacoemulsification of posterior polar cataracts

By the ASCRS Cataract Clinical Committee
Posterior polar cataracts present a unique challenge for the cataract surgeon. This review describes the steps a surgeon can take to overcome these challenges for the successful phacoemulsification of the posterior polar cataract. Proper preoperative examination and diagnostics will allow appropriate preoperative counseling and surgical planning to increase the likelihood of success...

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Mastering the Details of Phacoemulsification with Active Fluidics: Video-Based Course

Course Instructors: Kevin M. Miller, MD; David M. Lubeck, MD, ABO; Barry S. Seibel, MD

The comprehensive, 1.5 hour video-based course will cover how to adjust ultrasound and fluidics settings on the Alcon Centurion phacoemulsification system to optimize surgical outcomes in normal and high-risk eyes. Attendees will learn about many of the unique features of this device and find out how to navigate the graphical user interface and "get under the hood" to optimize machine performance.

EyeWorld Article

Reviewing phaco fundamentals: How to optimize settings for routine and complex cases

By David F. Chang, MD
Optimizing machine settings is an important factor in successful cataract surgery, but it is often overlooked or underemphasized in phaco education. The 2013 ASCRS Clinical Survey confirmed strong educational interest in this topic for a majority of cataract surgeons, regardless of their experience....

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EyeWorld Article

Phaco fundamentals: How and when to adjust your settings

By Liz Hillman
Those unfamiliar with fluidics in the eye might not risk changing settings on their phacoemulsification machine and could thus be missing out on significant safety and efficiency opportunities, said Berdine Burger, MD, Carolina Eyecare Physicians, Charleston, South Carolina.

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