-Bimanual MICS surgery is performed under sedation and local anesthesia, and in most cases should n

Cataract surgery buffet presentation without sutures and without "prick" or cover the eye with a visual recovery almost immediately. Microincisió bimanual techniques are effective and safe, achieving greater patient comfort and visual and functional recovery faster than with conventional techniques. This is one of the conclusions reached in the 43 Congress of the Catalan Society of Ophthalmology.
During buffet presentation the November 30 and December 1, held in Barcelona 43 Congress of the Catalan Society of Ophthalmology and was one of the key themes cataract surgery techniques demicroincisió bimanual (bimanual MICS-). This is to reduce surgical trauma, the risk of complications and improve efficiency to achieve a faster recovery of the patient.
The novelty of these techniques was how to achieve these objectives and the Congress have sat some of the bases for its achievement. In summary we can say that has been discussed on the technology used and on the surgical approach.
Regarding technology, we have the new phacoemulsification systems, some based on ultrasound and other cold micropolsat buffet presentation based on femtosecond laser. Both have advantages and disadvantages, and although it is not our intention to enter into this debate, what is important is to know that both systems are equally valid for success, although we believe that laser systems provide significant advantages in a not too distant buffet presentation future.
Regarding the surgical approach, is where most changes have experienced is demicroincisió buffet presentation bimanual surgery (MICS-bimanual), which has shown more advantages over other techniques in both efficiency and safety. Scientific evidence found in publications on comparative studies, as there are fewer complications and a faster recovery of patients, both the vision as the return to normal life, as shown in Article published by doctors, Alió Verges and Klonowsk (click).
Figure 2. --bimanual MICS surgery. Outline fluíidca inside the anterior chamber (left) and detail of the maneuver partition cataract with chopper-irrigator and needle Faco Virgin (der).
-Bimanual MICS surgery is performed under sedation and local anesthesia, and in most cases should not "click" with the eye or orbit injections regional anesthesia is not required to give points to close the incisions, which are auto.sallat have a very small and very safe. This makes the patient feel comfortable during surgery and watching out and can go home (ambulatory surgery), and although you need some rest from the morning and can perform certain activities, such as watching television or even read everything.
When we perform the surgery in both eyes at the same surgery the same day, called bilateral buffet presentation surgery (click), where the MICS-bimanual technique offers more advantages, making recovery even faster, since the new information that reaches the brain through the eyes, and is similar adaptation is faster, especially if we have implemented multifocal intraocular lenses to see far and near.
In our center area Advanced Ophthalmology, we were pioneers in these techniques, both nationally and internationally and perform this surgery for over 10 years, with very satisfactory results, so now we are proud to recognize their advantages and is considered the most advanced surgical intervention for cataracts.
For its realization requires a specific technology and instruments, especially a team well combined. It is essential buffet presentation that the anesthetist can make a good sedation so that the patient buffet presentation is quiet and does not move, as if it were a general anesthetic but without the risks of this and the patient can recover just finished surgery to return home without being admitted to the surgical center.
On another level, the surgeon, assistant, buffet presentation and instrumentalist, must form a team to successfully perform well combined surgery, as such techniques require more precision buffet presentation and control a more comprehensive technology used (ultrasound or laser) .
If we unite these factors, technology and human resources, the result will be very good, with a high level of efficiency and security, with a few days of recovery to return to normal life, so why encourage ophthalmologists still not perform these techniques, because buffet presentation change ASAP and patients to be part of cataracts, so c