Cataract surgery as an outdoor procedure in rural areas through mobile van (a new strategy for prevention of cataract blindness).
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The instrument consists of a high-speed air turbine driven cutter combined with a pressure-regulated infusion system and a peristaltic pump evacuation system. The tool has an exposure control to vary the axial position of the cutter relative to its housing. The entire unit is controlled and powered by compressed air. A foot pedal start and stops all suction and cutting functions. The intraocular pressure is controlled by a flow-compensating pressure regulator that balances out the inflow system pressure drop and thereby provides essentially constant intraocular pressure.
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161 eyes with Nd:YAG laser posterior capsulotomy after in the bag IOL implantation 1-3 years before, were actively followed over a period of 24 +/- 6 months. No CME nor retinal detachment nor induced glaucoma was found. Therefore a YAG capsulotomy in eyes with completely in the bag implanted IOL seems to assure the same level of security than capsular polishing in eyes with sulcus implanted lenses.
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