RESEARCH ARTICLE
In Water Thermal Imaging Comparison of the Alcon Legacy and AMO Sovereign Phacoemulsification Systems§
Kevin M. Miller*, #, Michael D. Olson
Article Information
Identifiers and Pagination:
Year: 2008Volume: 2
First Page: 20
Last Page: 26
Publisher ID: TOOPHTJ-2-20
DOI: 10.2174/1874364100802010020
Article History:
Received Date: 1/1/2008Revision Received Date: 17/1/2008
Acceptance Date: 20/1/2008
Electronic publication date: 15/2/2008
Collection year: 2008

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose:
To compare the temperature profiles of 2 popular phacoemulsification units under similar operating conditions in water.
Methods:
The phacoemulsification probes of the Sovereign WhiteStar and Legacy AdvanTec were capped with water-filled test chambers and imaged side-by-side using a thermal camera. The highest temperature of each chamber was measured at several time points after power application. Testing was performed under conditions capable of producing a corneal burn. The Legacy was operated in pulse mode at 15 Hz; a 50% duty cycle; and console power settings of 10, 30, 50 and 100%. The Sovereign was operated at the same console settings in WhiteStar C/F pulse mode at 56 Hz and a 33% duty cycle.
Results:
Under all conditions (powers of 10, 30, 50 and 100%; with or without irrigation/aspiration flow; and with or without sleeve compression), the Sovereign generated higher temperatures than the Legacy. At irrigation/aspiration flow rates ≥ 5 cc/min, the temperature profiles of the 2 units were indistinguishable.
Conclusion:
The Sovereign WhiteStar ran hotter than the Legacy AdvanTec under a variety of controlled low flow operating conditions. The Sovereign WhiteStar is more likely than the Legacy AdvanTec to produce a corneal burn under low flow conditions.