Zero Phaco: A new technique for dealing with soft cataracts

Phacoemulsification in soft cataracts can be challenging due to the lack of rigid cleavage planes and the inability to crack. We describe a new phacoemulsification technique for dealing with soft cataracts using high vacuum and zero energy. Following capsulorhexis and hydrodissection, we introduced the phacoemulsification probe, keeping the torsional and longitudinal power at zero. A central groove was created in sculpting mode. We held the nucleus with adequate vacuum in chop mode and divided the nucleus. Then, we rotated and chopped the nucleus similarly into small pieces without using any power. For emulsification, we increased the vacuum to 600 mmHg and then shredded and stuffed the pieces into the phaco probe by the chopper. A newer generation phaco machine with active fluidic system and monitored pressurized infusion helps the surgeon control the intraocular pressure (IOP) and hold the nucleus with vacuum alone, allowing chopping and emulsifying of the pieces without any energy.

The Concept of Zero Energy Intelligent Buildings (ZEIB): A Review of Sustainable Development for Future Cities.

It is noticed that intelligent buildings are aimed to consider social, environmental and economic values beside a substantial focus to the automated technological attributes. Due to many promising green building initiatives, the accelerated level of interests towards the applications of information technology and advanced control techniques in architecture design has been observed. With a viewpoint to the sustainable development of future cities, attributing the eventual impacts of climate change, various interrelated green building design approaches have been implemented. This study aims to elucidate the significant advancements of intelligent building design as a key constituent of eco-city development for creating greener and effective built environments. Current effort in this study is also geared toward considerable and practical implementations that were carried out in order to create buildings with zero energy consumption. Emphasis is placed upon reviewing the recent theories, attempts, implementations, and challenges towards the development of zero energy intelligent buildings (ZEIB). The findings inferred from the theoretical analysis confirm that the significant contribution of ZEIB concept will end up for the sustainable development of future eco-cities.