MICS: chirurgia zaćmy przez mikrocięcie – technika bimanualnej fakoemulsyfikacji. Część I
MICS: Micro Incision Cataract Surgery – Conception of the Bimanual Small Incision Phacoemulsification. Part I
Paweł Klonowski1, Ewelina Balak1, Robert Rejdak1, Jorge Alio2
1 Klinika Okulistyki Uniwersytetu Medycznego w Lublinie, Polska
Kierownik: dr hab. n. med., prof. ndzw. Tomasz Żarnowski
2 Vissum Instituto Oftalmológico de Alicante, Miguel Hernández
University, Medical School, Alicante, Hiszpania
Head: Professor Jorge Alio, MD, PhD
Summary: Microincision Cataract Surgery (MICS) is the surgery performed through incisions of 1.5 mm or less. Understanding this global concept implies that it is not only about achieving a smaller incision size but also about making a global transformation of the surgical procedure towards minimal aggressiveness. It is a transition from conventional small incision surgery to the more developed concept of MICS. There is no limitation of indication to MICS cataract operation. You can operate all gradient of cataract LOCS III, even hard cataracts. Subluxated lenses, post traumatic lenses, zonular laxity and congenital cataracts can also be operated with MICS, but with small doses of ultrasound. MICS is especially dedicated for “refractive cataract operation”. Generally MICS doesn’t induce astigmatism. MICS can be especially dedicated for refractive cataract surgery by injecting multifocal lenses and toric lenses and also after corneal refractive surgery. Small incision surgery made huge progress in cataract surgery. Most of the patients few days after surgery can return to perform normal activities. In case of MICS the recovery time can be shortened due to the smaller incision, lower astigmatism and better visual outcome.
Słowa kluczowe: MICS, mikrocięcie, zaćma, astygmatyzm.
Keywords: MICS, microincision, cataract, astigmatism.