About MEAJO | Editorial board | Search | Ahead of print | Current Issue | Archives | Instructions to authors | Online submission | Subscribe | Advertise | Contact | Login 
Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
Users Online: 2468   Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Year : 2008  |  Volume : 15  |  Issue : 3  |  Page : 123-127

Phaco prechop versus divide and conquer phacoemulsification: A prospective comparative interventional study

Department of Ophthalmology, Cairo University, Giza, Egypt

Correspondence Address:
Ahmed M Abdelrahman
Assistant Professor of Ophthalmology, 8 Morad Street (Morad Tower), Apartment 409, Giza
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.51987

Rights and Permissions

Purpose: To compare two phaco techniques, namely Phaco Prechop and Divide and conquer, basically during their early learning curves. Patients and Methods: The study included 50 patients divided into 2 groups, each including 25 patients; group (A) where phaco Prechop was performed, and group (B) in which divide and conquer was performed. The mean effective ultrasound time, mean endothelial cell count, mean endothelial cell loss, corneal thickness, intraoperative complications, and the best corrected visual acuity were reported in the two groups both preoperative and postoperative. Results: The mean effective ultrasound time in group A was 19.36 8.51 seconds, and in group B, it was 24.44 7.86 seconds with a statistically significant difference between the two groups (P = 0.033). The mean endothelial cell count 3 months postoperative in group A was 2139.88 cells/mm 2 . In group B, the mean endothelial cell count 3 months postoperative was 2087.08 cells/mm 2 . The difference between the two groups was statistically insignificant (P = 0.558), however The difference in endothelial cell loss 3 months postoperatively between the two groups was statistically significant. (P = 0.001). Four cases in groups A (16%) had posterior capsular rents compared to three cases (12 %) in group B. Postoperative best corrected visual acuity in group B was 6/12 or better in 88% of cases as compared to 92% in group A with no statistical difference. Conclusion: Early cataract surgical cases performed with the Phaco Prechop and divide and conquer techniques showed comparable results and complications. However the former technique utilized less phaco time and energy without significant effect on the final surgical outcome.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded321    
    Comments [Add]    
    Cited by others 2    

Recommend this journal