Hydro-dispersion of subincisional cortex

BMC Ophthalmology

Tetsuro Oshika¹  Teruyuki Miyoshi²  Hironori Yoshida²  Takahiro Shimowake³ 

[1] Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, 305-8575, Tsukuba, Ibaraki, Japan;Miyoshi Eye Clinic, Hiroshima, Japan;Shimowake Eye Clinic, Ehime, Japan;

关键词: Cataract surgery;    Cortex;    Subincisional;    Irrigation and aspiration;   

DOI  :  10.1186/s12886-022-02314-0

来源: Springer

【 摘 要 】

BackgroundA simple technique to facilitate removal of subincisional cortex in cataract surgery is presented.MethodsA disposable 27-gauge blunt needle attached to a 5.0-ml syringe containing balanced salt solution (BSS) is introduced through the side port incision into the anterior chamber. The tip of the needle is directed toward the capsule fornix beneath the incision site, and BSS is flushed to disperse the remaining cortex. Thereafter, the coaxial irrigation/aspiration device is used to remove the loosened cortex.ResultsThis technique was used in 60 eyes of 60 patients with difficulty of removing cortical remnant in the subincisional space. Subincisional cortical material was successfully removed in 93.3% (56/60 eyes). There were no intraoperative and postoperative complications related to this procedure.ConclusionsThe hydro-dispersion technique is a simple and safe approach to remove the subincisional cortical material that is difficult to manage with the standard coaxial irrigation/aspiration device.

【 授权许可】

CC BY