PHACO SETTINGS SIMPLIFIED A STEP BY STEP GUIDE WITH TIPS AND TRICKS

Penulis :

Dr. Budiman, dr., SpM(K), M.Kes.

ISBN : 978-634-283-006-2

Jumlah Hlm : x + 233
Ukuran : 15 x23 Unesco
Kertas : Bookpaper
Tahun Terbit : 2026
Editor : –

SINOPSIS

This textbook is designed as a concise yet comprehensive guide for ophthalmology residents and cataract surgeons who wish to master the art of optimizing phacoemulsification machine settings. Understanding how to balance energy, vacuum, and fluidics is crucial to achieve effective lens removal while preserving corneal endothelium and minimizing complications. Presented in a practical, step-by-step format enriched with clinical pearls, this book highlights essential tips, troubleshooting strategies, and real-world applications for various cataract grades and surgical techniques. Written with clarity and focus, Phaco Settings Simplified bridges the gap between theory and surgical practice, serving as both a quick reference and a training companion in modern cataract surgery.

Daftar Isi
Preface …………………………………………………………………………………………. v
Table of Content ……………………………………………………………………….. vii
Chapter 1. Fundamentals of Phacoemulsification Settings . 1
A. Overview of Phacoemulsification Technology ……….. 2
B. Key Parameters: Power, Vacuum, and Aspiration
Flow Rate ………………………………………………………………………….. 6
C. Understanding Fluidics: Bottle Height and Irrigation
Systems …………………………………………………………………………….12
D. The Relationship Between Settings and Ocular
Safety ………………………………………………………………………………..16
Chapter 2. Components and Functions of the Phaco
Machine ………………………………………………………………………………………21
A. Main Console and Control Interface …………………………23
B. Handpiece Design and Power Delivery Modes……..28
C. Foot Pedal Functions and Surgeon Control …………….32
D. Tubing, Cassette, and Pump Systems (Peristaltic vs
Venturi) …………………………………………………………………………….36
Chapter 3. Energy Settings and Modulation Techniques ….45
A. Continuous, Pulse, and Burst Modes ……………………….46
B. Choosing the Right Energy for Different Lens
Densities …………………………………………………………………………..51
C. Reducing Thermal Injury: Tips for Energy
Efficiency ………………………………………………………………………….55
D. Advances in Torsional and Longitudinal Phaco
Power …………………………………………………………………………….59
Chapter 4. Fluidics Optimization for Stability ……………………65
A. Understanding Anterior Chamber Dynamics ………..66
B. Setting the Right Vacuum and Flow for Each
Step …………………………………………………………………………………70
C. Preventing Surge and Chamber Collapse ……………….73
D. Tips for Safe Cortical Aspiration and I&A
Settings …………………………………………………………………………….76
Chapter 5. Customizing Settings for Different Cataract
Grades …………………………………………………………………………………………87
A. Soft Cataract Settings: Minimal Energy Approach .88
B. Moderate Cataract: Balancing Efficiency and
Control ……………………………………………………………………………..91
C. Hard Nucleus: High Power with Enhanced
Stability …………………………………………………………………………….95
D. Brunescent Cataract: Stepwise Strategy and Safety
Margins …………………………………………………………………………. 101
Chapter 6. Mode-Specific Tips and Tricks ………………………… 108
A. Sculpting Mode: Depth Control and Power
Limitation …………………………………………………………………….. 109
B. Chop Mode: Vacuum Timing and Burst Energy… 112
C. I/A Mode: Safe Cortex Removal and Capsule
Protection ……………………………………………………………………… 116
D. Bimanual vs Coaxial Techniques: Setting
Adjustments ………………………………………………………………… 123
Chapter 7. Adapting Settings to Different Surgical
Situations ………………………………………………………………………………… 133
A. Small Pupil and Floppy Iris Syndrome ………………… 134
B. Shallow Anterior Chamber and High Myopia ……. 138
C. Post-Vitrectomy Eyes and Weak Zonules ……………. 141
D. Pediatric and Traumatic Cataracts …………………………. 146
Chapter 8. Troubleshooting Common Problems …………….. 155
A. Surge and Chamber Instability ……………………………….. 156
B. Tip Occlusion and Blockage…………………………………….. 161
C. Excessive Energy Use and Corneal Burns ……………. 172
D. Machine Alerts and Parameter Errors …………………… 176
Chapter 9. Machine Profiles and Surgeon Preferences …. 182
A. Sample Settings for Different Phaco Platforms …… 183
B. Custom Profiles: Building Your Own Setting
Bank ……………………………………………………………………………… 189
C. Sharing and Comparing Settings Among
Surgeons ……………………………………………………………………….. 192
Chapter 10. Quick Reference: Clinical Pearls and Safety
Checklist ………………………………………………………………………………….. 200
A. Stepwise Summary of Safe Settings ………………………. 201
B. Energy-Saving Strategies for Every Case……………… 205
C. Troubleshooting Table for Intraoperative
Challenges ……………………………………………………………………. 213
D. Top 20 Tips from Experienced Phaco Surgeons …. 218
Reference ………………………………………………………………………………… 226
About The Author ………………………………………………………………….. 231