This is the most common and preferred technique for cataract surgery. It involves making a small incision in the cornea and using ultrasound energy to break up the cloudy lens into tiny fragments. The fragmented lens is then gently suctioned out through the incision, and an IOL is inserted in its place. Phacoemulsification offers quicker recovery times and requires minimal sutures or stitches.
FLACS combines the precision of laser technology with the benefits of phacoemulsification. A femtosecond laser is used to create precise incisions, soften the cataract, and break it into smaller pieces. This approach may be recommended for patients with complex or dense cataracts, astigmatism, or other specific requirements.
In certain cases, such as advanced cataracts, an alternative to phacoemulsification may be used. ECCE involves making a larger incision in the cornea or sclera to remove the cloudy lens in one piece. This technique may be necessary when phacoemulsification is not suitable due to factors like extremely dense cataracts or other ocular conditions.