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    Viscosplit and crack in mini-coaxial small-incision cataract surgery

    Take-home: Cataract surgery assisted by viscosplit and crack gives good results compared with standard phacoemulsification. 


    Introducing femtolasers into cataract surgical procedures has advantages, but also disadvantages such as a range of additional complications.1 This raises the question of whether this expensive technology adds sufficient benefit to previous techniques. Therefore, scientific comparison of different surgical methods with respect to safety, benefits for the patients and cost is necessary. The aim of this paper, which is based on a presentation at the ESCRS 2010 meeting,2 is to compare different phaco techniques in order to evaluate their advantages and disadvantages and to derive implications for future directions in cataract surgical methodology.

    In order to investigate and disentangle the costs and benefits of different cataract surgical methods, this study compared cataract surgery assisted by viscosplit and crack (VSC) with that performed using standard phacoemulsification. These are well-known variations of mechanical fragmentation of the nucleus phacofracture divide-and-conquer and bimanual chop techniques,3–5 all performed at our eye surgery centre in Augsburg, Germany.

    Patients and methods

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