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Refractive Lens Surgery

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212 M. Packer · R.S. Hoffman · I.H. Fine<br />

(LECs) through mechanical dislodgment,<br />

with a potential resultant lower incidence of<br />

posterior capsule opacification [2]. If this becomes<br />

a reality, the bimanual microincision<br />

approach to cataract extraction may be an<br />

ideal technique for AquaLase use, since all<br />

portions of the capsule fornices with their<br />

populations of LECs could be easily treated<br />

with the fluid pulses. Another means of addressing<br />

LECs independent of the AquaLase<br />

system could entail the use of distilled-deionized<br />

water placed within a sealed capsule to<br />

lyse these cells [3].<br />

Other features of the Infiniti include improved<br />

fluidics aided by an infusion pressure<br />

sensor and reduced system compliance by<br />

means of a rigid elastomeric membrane within<br />

the peristaltic design. Compared with the<br />

Alcon Legacy, the Infiniti has demonstrated<br />

reduced surge and better vacuum performance<br />

with faster dynamic rise times yielding<br />

improved accuracy and response.<br />

References<br />

1. Fine IH, Packer M, Hoffman RS (2002) New<br />

phacoemulsification technologies. J Cataract<br />

Refract Surg 28:1054–1060<br />

2. Mackool RJ, Brint SF (2004) AquaLase: a new<br />

technology for cataract extraction. Curr Opin<br />

Ophthalmol 15:40–43<br />

3. Crowston JG, Healey PR, Hopley C et al (2004)<br />

Water-mediated lysis of lens epithelial cells attached<br />

to lens capsule. J Cataract Refract Surg<br />

30:1102–1106

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