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Biomedical subjects

R L Pacifico

Publications and source records attributed to R L Pacifico.

3 recordsLinked to original sources

Ultrasonic energy in phacoemulsification: mechanical cutting and cavitation.

Ultrasound energy has two components. The first is mechanical cutting energy, which many believe is the sole energy in phacoemulsification. A second, less studied type of energy is produced by the sonic wave part of ultrasound, which produces cycles. These cycles can create little bubbles or cavities. Under the right circumstances and at a critical point (i.e., maximum cavity enlargement), they implode with tremendous negative energy and heat. This implosion creates a cavity in a process known as cavitation. This article discusses both types of energy and explores the advantages and disadvantages of cavitation.

Animals↗

Astigmatically neutral sutured small incision.

The desire for rapid visual rehabilitation following phacoemulsification for cataract and intraocular lens implantation has stimulated a quest for an "astigmatically neutral" incision. We have evaluated an underemphasized aspect of wound closure technique for a small incision wound (5.1 mm). The essential element of the technique is reinflation of the anterior chamber after a nylon shoelace suture is placed and tied once but before the knot is finally secured. The resulting changes in corneal curvature are analyzed. Results are presented at two weeks and six weeks postoperatively. We have termed this technique post-suture inflation.

Astigmatism↗