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    In practice: Integrating a new I/A handpiece for femtocataract surgery

    Surgeon shares experience of adding instrumentation to regimen as technology continues to evolve

    Take home

    A disposable irrigation/aspiration handpiece is designed for the soft removal of cataracts following femtosecond laser fragmentation without the use of ultrasound energy. Dee Stephenson, MD, shares personal experiences with the integration of this technology into practice.


    By Michelle Dalton, ELS; Reviewed by Dee Stephenson, MD

    Venice, FL—New technologies—such as the femtosecond laser for cataract surgery—demand new instrumentation and “rethinking the most efficient and safest way to attain the safest surgery and best outcomes for the patient,” said Dee Stephenson, MD, Stephenson Eye Associates, Venice, FL.

    “[Surgeons] have to find the balance between femto power and phaco power," noted Dr. Stephenson, when considering the integration of femto-cataract surgery into practice. "We need to know the total amount of energy that goes in the eye in order to do the safest procedure.”

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    She quickly realized numerous (but minor) changes to her surgical technique would be needed, including the primary incision size and architecture, the side port incision, the size of her capsulotomy, determining which fragmentation pattern would be best, and needing new instruments (such as a sideport chopper, a zero phaco handpiece) that are specifically designed to work with the new system.

    Dr. Stephenson uses the LensAR femtosecond laser, the Stellaris (Bausch + Lomb), and the ZeroPhaco I/A handpiece (Bausch + Lomb).

    Handpiece details

    The disposable I/A handpiece, with either 15° or 30° bevel needle, is designed for the removal of soft cataracts 1-2+ following femtosecond laser fragmentation without the use of ultrasonic energy, Dr. Stephenson said.

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