June 16, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000001990

Ultrasound phacoemulsification: Physical mechanisms, cavitation, and thermal effects

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The authors aimed to analyze the physical mechanisms and potential risks associated with ultrasound-induced effects during phacoemulsification cataract surgery. Through computational modeling and experimental validation, they found that the mechanical and thermal risks to ocular tissues are negligible, with lens fragmentation primarily driven by the oscillating tip rather than cavitation. Their results support the safety and efficacy of ultrasound-based phacoemulsification techniques.

Thomas Graf, Thomas Gisler, Silvio Emmenegger, Samuel Tanner, Rupert Menapace, Silvio Di Nardo

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