Table 3.
Comparaison of non-fragmentation techniques and RAPID technique
| Surgical steps | RAPID technique | Traditional carouselling technique | Endocapsular carouselling technique | Phaco-rolling technique | Bowl and Snail technique |
|---|---|---|---|---|---|
| Capsulorhexis | 5 mm | >5 mm | 5 mm | >5 mm | ≥5 mm |
| Hydrodissection | Done | Done | Done | Done | Done |
| Hydrodelineation | Not required | Required | Required | Required | Required |
| Sculpting | Not required | Not required | Not required | Not required | Required |
| Plane of phacoemulsification | Multiplanar | Supracapsular in the anterior chamber | Endocapsular | Endocapsular | Endocapsular |
| Special tips/instruments | None. Routine Kelman 45 degrees Kelman tip | None | Specialised 20 degrees right bent D shaped phaco-tip with a semicircular opening and a third irrigation port | None | None |
| Surge preventing softwares | Not required | Required | Required | Required | Required |
| Fluidics/vacuum | Routine | High fluidics/vacuum | High fluidics/vacuum | High fluidics/vacuum | Low Vacuum |
Notes: RAPID, a soft cataract phacoemulsification technique, is an acronym-based procedure where R is rotation of nucleus, A is alignment of phacoemulsification tip sideways, P is placement of tip adjacent to the nuclear rim, I is impaling of tip into nuclear rim and D is devouring wherein nucleus is aspirated/emulsified.