Burst Hemiflip Approach to Phacoemulsification
Purpose
To describe the Burst Hemiflip technique for phacoemulsification and its optimization on the Stellaris platform (Bausch + Lomb).
Methods
The author’s clinical experience with the Burst Hemiflip phaco technique performed on the Stellaris platform will be reviewed.
Results
The technique involves creation of a nuclear groove, separation of the nucleus into 2 halves, pulling the first half into the iris plane for emulsification, and emulsification and removal of the second half. The Wallace Guardian is used to help maneuver the first half of the nucleus and protect the posterior capsule during emulsification of the second half. With the Stellaris in vacuum-based fluidics mode, an entire heminucleus can be held and pulled forward for emulsification while maintaining a stable chamber.
Conclusion
The advanced fluidics of Stellaris has improved phaco speed and safety and allows for efficient nuclear disassembly and removal with the Burst Hemiflip technique.