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Article
November 1987

Converting to Phacoemulsification (A Manual for the Surgeon in Transition)

Author Affiliations

Brookline, Mass

Arch Ophthalmol. 1987;105(11):1494. doi:10.1001/archopht.1987.01060110040026

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Abstract

This is a well-written monograph by an experienced phacoemulsification surgeon who is comfortable with the procedure and is pleased with the results in his patients. It is clearly written and very accurate in describing the stepwise sequence of the phacoemulsification procedure. There are chapters on the conjunctival flap, incision, capsulotomy, emulsification technology, nucleus handling, classic phacoemulsification maneuvers, cortex removal, intraocular implantation, wound closure, and complications. The illustrations are simplified line drawings and clearly illustrate the points that Dr Koch is making in describing the technique and pitfalls of this procedure. Although clear, the sketches are misleading as the depth of the anterior chamber is consistently sketched as deeper than normal, and this makes nucleus manipulation during emulsification look easier than it really is.

The author discusses the rationale for small-incision surgery and points out that the incision heals faster, is

"... an excellent guide for the surgeon who desires to master

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