A modified-simple technique of removing the lens cortex during cataract surgery

We describe here a surgical technique of removing the remaining cortex after phacoemulsification without performing the conventional irrigation/aspiration (I/A) procedure. In this technique, the remaining cortex attached to the posterior capsule was separated and dissected into several pieces by con...

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Main Authors: Kyung Eun Han, Se Hoon Han, Dongkwon Lim, Min Chul Shin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=1;spage=59;epage=61;aulast=Han
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author Kyung Eun Han
Se Hoon Han
Dongkwon Lim
Min Chul Shin
author_facet Kyung Eun Han
Se Hoon Han
Dongkwon Lim
Min Chul Shin
author_sort Kyung Eun Han
collection DOAJ
description We describe here a surgical technique of removing the remaining cortex after phacoemulsification without performing the conventional irrigation/aspiration (I/A) procedure. In this technique, the remaining cortex attached to the posterior capsule was separated and dissected into several pieces by continuous irrigation with balanced salt solution, which was supplied through a syringe attached to a bent, blunt-tip needle. Approximately, 10 s of manual irrigation separated most of the remaining cortex from the posterior capsule. Then, the capsular bag was inflated with an ophthalmic viscoelastic device (OVD), and this pushed the separated cortex toward the capsular fornix mechanically. An intraocular lens was inserted into the capsular bag, following which the remaining cortex and OVD were removed concomitantly using an automated I/A handpiece. This technique is a simple and easy maneuver to remove the cortex from all areas, including the subincisional area, and reduce the possibility of a posterior capsule tear.
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spelling doaj.art-54be49ccd7364af788d7345770f3c3622022-12-21T17:59:21ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892017-01-01651596110.4103/ijo.IJO_456_14A modified-simple technique of removing the lens cortex during cataract surgeryKyung Eun HanSe Hoon HanDongkwon LimMin Chul ShinWe describe here a surgical technique of removing the remaining cortex after phacoemulsification without performing the conventional irrigation/aspiration (I/A) procedure. In this technique, the remaining cortex attached to the posterior capsule was separated and dissected into several pieces by continuous irrigation with balanced salt solution, which was supplied through a syringe attached to a bent, blunt-tip needle. Approximately, 10 s of manual irrigation separated most of the remaining cortex from the posterior capsule. Then, the capsular bag was inflated with an ophthalmic viscoelastic device (OVD), and this pushed the separated cortex toward the capsular fornix mechanically. An intraocular lens was inserted into the capsular bag, following which the remaining cortex and OVD were removed concomitantly using an automated I/A handpiece. This technique is a simple and easy maneuver to remove the cortex from all areas, including the subincisional area, and reduce the possibility of a posterior capsule tear.http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=1;spage=59;epage=61;aulast=HanCataract surgerycortex removalirrigation and aspiration
spellingShingle Kyung Eun Han
Se Hoon Han
Dongkwon Lim
Min Chul Shin
A modified-simple technique of removing the lens cortex during cataract surgery
Indian Journal of Ophthalmology
Cataract surgery
cortex removal
irrigation and aspiration
title A modified-simple technique of removing the lens cortex during cataract surgery
title_full A modified-simple technique of removing the lens cortex during cataract surgery
title_fullStr A modified-simple technique of removing the lens cortex during cataract surgery
title_full_unstemmed A modified-simple technique of removing the lens cortex during cataract surgery
title_short A modified-simple technique of removing the lens cortex during cataract surgery
title_sort modified simple technique of removing the lens cortex during cataract surgery
topic Cataract surgery
cortex removal
irrigation and aspiration
url http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=1;spage=59;epage=61;aulast=Han
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