Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification
Hassan Khaled,1,* Bilal Haj Najeeb2,* 1Magrabi Eye & Ear Hospital, Makkah, Saudi Arabia; 2Department of Ophthalmology, Medical University of Vienna, Vienna, Austria*These authors contributed equally to this workCorrespondence: Hassan Khaled, Magrabi Eye & Ear Hospital...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-04-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/twist-technique-to-stop-fluid-leakage-and-fixate-the-eye-during-bimanu-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1797845687591763968 |
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| author | Khaled H Haj Najeeb B |
| author_facet | Khaled H Haj Najeeb B |
| author_sort | Khaled H |
| collection | DOAJ |
| description | Hassan Khaled,1,* Bilal Haj Najeeb2,* 1Magrabi Eye & Ear Hospital, Makkah, Saudi Arabia; 2Department of Ophthalmology, Medical University of Vienna, Vienna, Austria*These authors contributed equally to this workCorrespondence: Hassan Khaled, Magrabi Eye & Ear Hospital, The Holy Mosque Street, Al Murasalat, Makkah, 24247, Saudi Arabia, Email hassan.adel@magrabi.com.saAbstract: Leakage of fluid through the side port during aspiration of the cortex leads to instability of the anterior chamber. In addition, eye movement may cause an unintended pulling of the irrigation probe out of the corneal wound resulting in collapsing of the anterior chamber. Both situations could pose a challenge to the surgeon and increase the risk of serious intraoperative complications. Therefore, we describe a simple effective maneuver to avoid these conditions during bimanual cortex removal and viscoelastic washout. In Khaled technique, rotating the irrigation probe outwards causes complete occlusion of the lumen of the side port and a simultaneous stabilization of the anterior chamber. Twisting the incision by the irrigation probe also offers better fixation of the eye at the edge of the side port and a subsequent reduction of eye movement.Keywords: irrigation probe, irrigation/aspiration, cataract surgery, cortex removal, phacoemulsification |
| first_indexed | 2024-04-09T17:43:02Z |
| format | Article |
| id | doaj.art-afe41eccf8b6483f962f6b6cf9e05502 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-04-09T17:43:02Z |
| publishDate | 2023-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-afe41eccf8b6483f962f6b6cf9e055022023-04-16T17:51:26ZengDove Medical PressClinical Ophthalmology1177-54832023-04-01Volume 171147114983026Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in PhacoemulsificationKhaled HHaj Najeeb BHassan Khaled,1,* Bilal Haj Najeeb2,* 1Magrabi Eye & Ear Hospital, Makkah, Saudi Arabia; 2Department of Ophthalmology, Medical University of Vienna, Vienna, Austria*These authors contributed equally to this workCorrespondence: Hassan Khaled, Magrabi Eye & Ear Hospital, The Holy Mosque Street, Al Murasalat, Makkah, 24247, Saudi Arabia, Email hassan.adel@magrabi.com.saAbstract: Leakage of fluid through the side port during aspiration of the cortex leads to instability of the anterior chamber. In addition, eye movement may cause an unintended pulling of the irrigation probe out of the corneal wound resulting in collapsing of the anterior chamber. Both situations could pose a challenge to the surgeon and increase the risk of serious intraoperative complications. Therefore, we describe a simple effective maneuver to avoid these conditions during bimanual cortex removal and viscoelastic washout. In Khaled technique, rotating the irrigation probe outwards causes complete occlusion of the lumen of the side port and a simultaneous stabilization of the anterior chamber. Twisting the incision by the irrigation probe also offers better fixation of the eye at the edge of the side port and a subsequent reduction of eye movement.Keywords: irrigation probe, irrigation/aspiration, cataract surgery, cortex removal, phacoemulsificationhttps://www.dovepress.com/twist-technique-to-stop-fluid-leakage-and-fixate-the-eye-during-bimanu-peer-reviewed-fulltext-article-OPTHirrigation probeirrigation/aspirationcataract surgerycortex removalphacoemulsification |
| spellingShingle | Khaled H Haj Najeeb B Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification Clinical Ophthalmology irrigation probe irrigation/aspiration cataract surgery cortex removal phacoemulsification |
| title | Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification |
| title_full | Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification |
| title_fullStr | Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification |
| title_full_unstemmed | Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification |
| title_short | Twist Technique to Stop Fluid Leakage and Fixate the Eye During Bimanual Cortex Removal in Phacoemulsification |
| title_sort | twist technique to stop fluid leakage and fixate the eye during bimanual cortex removal in phacoemulsification |
| topic | irrigation probe irrigation/aspiration cataract surgery cortex removal phacoemulsification |
| url | https://www.dovepress.com/twist-technique-to-stop-fluid-leakage-and-fixate-the-eye-during-bimanu-peer-reviewed-fulltext-article-OPTH |
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