2997: is low IOP phaco really that important?
Is low IOP phaco really that important? While chasing ultra-low pressure setting parameters sounds ideal in theory, it introduces significant challenges in practice. Operating with an IOP targeted at 20 mmHg, as seen in this case by our guest surgeon, often creates fluidic instability and noticeable anterior chamber bounce. The real danger arises if a complication occurs: when the posterior capsule breaks at such a low pressure, the risk of immediate vitreous prolapse increases exponentially. Instead of risking a unstable chamber at 20 mmHg, it would have been far safer to utilize a target pressure closer to 40 mmHg to maintain structural stability. We must separate the marketing push from phaco platforms and instead ask ourselves, what would truly be best for our patients in terms of safety.
What is your default target IOP setting for routine phacoemulsification? Comment below
