Purpose: To spell it out a new, en masse, stepwise technique for purely soft cataracts. of 0C45 mL/min in E7080 supplier linear mode. The primary outcome measures were cumulative dissipated energy (CDE), ultrasound time (UST), amount of fluid used, surgical complications and mean endothelial cell loss. Results: Phacoemulsification with IOL implantation was performed successfully in all patients without any intraoperative complications. CDE was 1.030.61. Total UST for nuclear emulsification was 3.843.27 seconds and fluid used was 102.35 milliliters. Postoperative follow-up examinations were done on 1, 4, 14, 30 and 90 days. Mean percentage of endothelial cell loss was 7.052.65% (mean endothelial cell counts were 2383.75105.21 cells/mm2 preoperatively and 2215.78114.9 cells/mm2 3 months postoperatively). Conclusion: RAPID is an en masse non-fragmentation technique for purely soft cataracts. This technique requires neither any specialized E7080 supplier instrumentations nor the usage of high vacuum with complimenting surge avoiding software. Basic stepwise multi-planer strategy of Quick technique enables easy and fast emulsification of smooth cataracts with simultaneous safeguarding of posterior capsule and corneal endothelium. solid course=”kwd-title” Keywords: smooth cataract phacoemulsification, Quick masse phacoemulsification technique en, smooth cataract Introduction Solely smooth cataracts are seen as a spongy uniformity.1 They have emerged in individuals with posterior subcapsular cataracts, developmental cataracts and in all those deciding on refractive zoom lens exchange.2C4 Such soft cataracts are located in middle-aged and young individuals.5 However, these soft-looking cataracts become hard and huge as this raises relatively. 6 The real amount of individuals undergoing soft cataract phacoemulsification at an early on stage offers increased.5 This increasing craze is related to developing visual needs, increased cosmetic wants, starting point of cataract in younger age group availability and band of ambulatory surgical technique.3C7 Furthermore, the cosmetic surgeons confidence is continuing to grow manifold in recommending medical procedures in early cataracts due to improvement in methods and instrumentations, advancements in phacoemulsification systems and option of high quality intraocular lens (IOLs).7 Popular fragmentation methods of phacoemulsification for soft cataracts are challenging.8C10 The fragmentation techniques because of the limitations can’t be used in extremely soft cataracts.11 Non-fragmentation techniques are favored for soft cataracts because of the challenges in fragmentation techniques.12 The variety of non-fragmentation methods described to emulsify soft cataracts require particular maneuvers, customized instrumentation, high surge and E7080 supplier fluidics preventing software E7080 supplier program.9,13C19 the utilization is bound by These factors of the prevailing non-fragmentation approaches for exclusively soft cataracts. We describe Quick way of a simplified en masse nuclear emulsification of solely smooth cataracts. Materials and methods This is an individual centered observational research conducted in an exclusive setting medical center from March 2018 to Sept 2018. The process honored the tenets from the Declaration of Helsinki and received authorization through the ethics committee of Dr Om Parkash Eyesight Hospital. All of the patients offered a created educated consent for the surgery as well as for inclusion with this Rabbit Polyclonal to BRP16 scholarly research. Quick technique was performed in 54 individuals having soft cataract. There were 31 males and 23 females with a mean age of 46.353.95 years. The patients presenting with posterior sub capsular cataracts, developmental cataracts and those opting for refractive lens exchange were included in the study. Based on Lens Opacity Classification (LOCS) III grading of cataract, the patients included in the study presented with nuclear colour grade 1 (NC1), nuclear opalescence grade 1 (NO1), cortical cataract grade 1 (C1) and posterior subcapsular cataract grade 1 (P1 to P4). Patients with nuclear nuclear colour NC1 and nuclear opalescence grade more than NO1 were excluded from the study. It was further observed that the overly soft looking nuclei in the higher age group were relatively hard and large and could not be maneuvered like purely soft cataracts.6 Hence, patients above 50 years of age were also excluded from the study. Technique All surgeries were performed under topical anesthesia with 0.5% proparacaine (Sunways India) eyedrops. The surgery was performed using Centurion/Infiniti Phacoemulsification system (Alcon Laboratories, Inc., Fort Worth, TX, USA). The parameters used were 475 mm Hg vacuum and 0C45 mL/min aspiration flow rate in linear mode with torsional phacoemulsification. There were 14 surgeries in our study that were performed by 2 trainee surgeons to determine the ease of learning. Remaining schooling performed the surgeries cosmetic surgeon. A temporal, very clear corneal 2.2 E7080 supplier mm or 2.8 mm incision was produced. After completing a.