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Phaco Machine

Overview

A Phaco Machine (Phacoemulsification System) is a specialized surgical device for modern cataract surgery, using ultrasonic vibrations from a tiny handpiece tip to break up the eye's cloudy lens into tiny fragments, which are then vacuumed out (aspirated) and replaced with an artificial lens, all through a tiny incision, making the procedure quick, minimally invasive, and highly effective. These machines manage fluidics (irrigation/aspiration), control ultrasonic power (longitudinal, torsional, elliptical), and use a foot pedal for surgeon control, ensuring stable eye pressure and precise removal of the cataract.

Key Components & Functions:

  • Ultrasonic Handpiece: The core component with a vibrating tip (27-60kHz) that emulsifies the cataract.
  • Irrigation/Aspiration (I/A): Delivers balanced salt solution (irrigation) to maintain eye pressure and remove emulsified lens material (aspiration).
  • Fluidics System: Manages fluid flow (gravity or pump-driven) and vacuum levels for stable intraocular pressure (IOP).
  • Foot Pedal: Controls flow, vacuum, and ultrasound power, often with linear control (more pedal = more power/vacuum).
  • Control Unit: Adjusts power, vacuum, flow, and mode (longitudinal, torsional, elliptical).

How it Works (Phacoemulsification):

  • Incision: A small incision (around 2-3mm) is made in the cornea.
  • Phaco Tip Insertion: The ultrasonic handpiece is inserted to emulsify the cloudy lens nucleus.
  • Emulsification: The tip vibrates at high speed (ultrasonic), creating cavitation and shockwaves to break the lens into fine particles.
  • Aspiration: The pump creates a vacuum, pulling the emulsified lens fragments out through the tip.
  • Cortex Removal: Irrigation/aspiration removes the remaining soft lens cortex.
  • IOL Implantation: An artificial Intraocular Lens (IOL) is inserted into the capsular bag.