MICS microincisional bimanual cataract operation

Cataract is the partial or total opacification of the lens and the cataract operation It is the only way to correct this condition.

The technique MICS-Bimanual is to perform the cataract surgery using microincisions (less than 1 millimeter) for minimize trauma in order to offer the maximum visual quality and faster recovery.

MICS microincisional binamual cataract operation

Cataract is the partial or total opacification of the lens and the cataract operation It is the only way to correct this condition.

The technique MICS-Bimanual is to perform the cataract surgery using microincisions (less than 1 millimeter) for minimize trauma in order to offer the maximum visual quality and faster recovery.

What is MICS-bimanual surgery?

La MICS-Bimanual cataract surgery is a cataract surgery «premum" consisting of perform the intervention without sutures and without “pricking” or covering the eye, with an almost immediate visual recovery. This technique is only capable of applying surgeons with exceptional and very experienced qualities.

The techniques of bimanual microincision sound more effective and safe, getting greater comfort for the patient and a faster visual and functional recovery than with conventional techniques.

Is reduce surgical trauma, riesgos of complications and improve efficiency to obtain faster recovery the patient.

Necessary technology

Regarding technology, we have the new phacoemulsification systems, ones based on cold micropulsed ultrasound and others based on the femtosecond laser.

Both have advantages and disadvantages and although it is not our purpose to enter this debate, what is important is to know that both systems are equally valid to achieve good results, although we think that the systems for operate the cataracts with laser they will provide significant advantages in the not too distant future.

Bimanual microincisional cataracts

Image of Dr Carlos Vergés performing bimanual microincisional cataract surgery.

How is it done?

Regarding surgical approach, it is here where more changes have been experienced and it is the bimanual microincisional surgery (MICS-Bimanual), the one that has shown more advantages over the other techniques, both in efficiency and safety.

The scientific evidences that we find in the publications, in the comparative studies, show how there are less complications and a faster recovery from the patients, so much in regards to the vision as to the return to normal life, as shown in the article published by doctors, Alió, Vergés and Klonowsk.

Surgery MICS-Bimanual is performed with sedation and topical anesthesia, and in most cases, no need to "click" the eye or orbit with injections of regional anesthesia, tampor it is required to give points to close the incisions, since they are very small and have a self-sealing very safe. This makes the patient feel very comfortable during surgery and go out watchingbeing able get back home (outpatient surgery), and while some rest is necessary, the same day You can now perform ciertas activitiesAs watch TV or even read.

When we do the surgery of the two eyes in the same surgical act, on the same day, what is called bilateral surgery, is where the technique MICS-Bimanual offers more advantages, getting a recovery even faster, since the new information that reaches the brain through the eyes, is similar and the visual adaptation is faster, especially if we have implanted multifocal intraocular lenses, to see from far and near.

Who can perform this intervention?

En Área Oftalmológica Avanzada we are experts in the operation of cataracts and we were pioneers in these techniques, both nationally and internationally and we have been performing this surgery for more than 10 years, with very satisfactory results, so we are proud that its advantages are now recognized and considered more advanced surgery to intervene cataracts.

For its realization a technology and a specific instrumental and, very especially, a well-joined team. It is essential that the anesthetist can perform a good sedation, so that the patient is calm and does not move, as if it were a general anesthetic but without the risks of it and that the patient can recover after the surgery, to be able to return home without being admitted to the surgical center.

On another plane, the surgeon, assistant e instrumentalist, should form a well joined team to be able to perform the surgery correctly, since this type of techniques require greater precision and a much more exhaustive control of the technology used (ultrasound or laser).

If we manage to combine these factors, technology y human team, the result will be very good, with a high level of efficiency and safety, with a recovery of few days to return to normal life.

Therefore, we encourage both ophthalmologists who still do not perform these techniques, so that they change as soon as possible, as well as patients who are going to intervene in cataracts, to consult about benefits of the MICS-Bimanual.

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Bimanual microincisional
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Bimanual microincisional
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Discover why bimanual microincision is the best and most effective with a much faster and less traumatic recovery of the patient.
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Área Oftalmológica Avanzada
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